Which of the following is a critical aspect to monitor in a patient immediately following a heart catheterization?

Observe for signs of infection at the catheter insertion site

Monitor the patient's cardiac rhythm and vital signs closely

Check the patient's blood glucose levels frequently.

Assess the patient's dietary intake and fluid balance.

Answer and Explanation

The Correct Answer is B

Rationale:

A. While infection monitoring is important, the risk immediately post-procedure is low; infection typically develops later, not immediately.

B. Immediately following a heart catheterization, there is a risk of arrhythmias, bleeding, or hemodynamic instability, making continuous monitoring of cardiac rhythm and vital signs critical to detect complications early.

C. Routine glucose monitoring is not specifically indicated unless the patient has diabetes; it is not a priority related to the catheterization procedure.

D. While ongoing hydration and diet are part of overall care, they are not immediate priorities in the immediate post-catheterization period.

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Correct Answer is C

Explanation

Rationale:
A. This is a surgical procedure for hypertrophic obstructive cardiomyopathy, not atrial fibrillation. It is unrelated to managing AF or symptomatic palpitations.

B. This procedure is used for continuous drainage of pericardial effusions or cardiac tamponade, not for treating atrial fibrillation.

C. This is the treatment of choice for symptomatic atrial fibrillation with rapid ventricular response when medication is insufficient or immediate rhythm control is needed. The procedure delivers a controlled electrical shock synchronized with the QRS complex to restore normal sinus rhythm safely.

D. This is used to remove excess fluid from the pericardial sac in cases of pericardial effusion or tamponade, not for atrial fibrillation management.

A. Oxygen B. Nitroglycerin C. Aspirin D. Morphine

Correct Answer is D

Explanation

Rationale:
A. Oxygen is administered during the initial acute phase if the client is hypoxic, to improve myocardial oxygenation, but it does not directly manage pain or anxiety once stabilized.

B. Nitroglycerin is used to relieve chest pain and reduce myocardial workload, primarily in the acute phase of MI. Its use after stabilization is for ongoing ischemia, not specifically for anxiety or persistent pain.

C. Aspirin is an antiplatelet therapy that prevents further clot formation and is continued long-term for MI management, but it does not address acute pain or anxiety.

D. Morphine is indicated after the initial acute phase to manage persistent chest pain and anxiety. It works by reducing myocardial oxygen demand through vasodilation and providing analgesia and sedation, making it appropriate for pain and anxiety management post-acute MI.

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Which of the following is a critical aspect to monitor in a patient immediately following a heart catheterization?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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