Nokea
The nurse is preparing a client for a cardiac catheterization. Which action would the nurse expect to take?
- A. Administer a radioisotope as ordered.
- B. Give the client a cleansing enema.
- C. Locate and mark peripheral pulses.
- D. Encourage high fluid intake before the test.
Correct Answer: C
Rationale: Locating and marking peripheral pulses before cardiac catheterization allows for post-procedure comparison to detect complications like arterial occlusion. Radioisotopes, enemas, and high fluid intake are not standard preparations for this procedure.
You may also like to solve these questions
A client with angina will have to make lifestyle modifications. Which of the following statements by the client would indicate that he understands the necessary modifications in lifestyle to prevent angina attacks?
- A. I know that I will need to eat less, so I will only eat one meal a day.'
- B. I will need to stay in bed all the time so I won't have the pain.'
- C. I'll stop what I'm doing whenever I have pain and take a pill.'
- D. I will need to walk more slowly and rest frequently to avoid the angina.'
Correct Answer: D
Rationale: Walking slowly and resting frequently helps prevent angina by reducing cardiac workload. Eating one meal a day, staying in bed, or only stopping during pain do not address preventive lifestyle modifications.
If the client understands the nurse's explanation of the heart's conduction system, which structure will the client identify as the site of the natural pacemaker? Place an X over the correct site.
- A. Sinoatrial node
- B. Atrioventricular node
- C. Bundle of His
- D. Purkinje fibers
Correct Answer: A
Rationale: The sinoatrial (SA) node is the heart's natural pacemaker, initiating electrical impulses.
Which finding best indicates that cardiac compressions can be discontinued?
- A. The victim's color improves.
- B. The pupils become dilated.
- C. A pulse can be palpated.
- D. The victim begins to vomit.
Correct Answer: C
Rationale: A palpable pulse indicates spontaneous circulation, allowing CPR to be discontinued.
The nurse responds to the call light of a client who has a history of angina pectoris. He tells the nurse that he has just taken a nitroglycerin tablet sublingually for anginal pain. What action should the nurse take next?
- A. If the pain does not subside within five minutes, place a second tablet under his tongue
- B. Position him with head lower than feet
- C. Administer a narcotic as needed (PRN) for pain if he still has pain in 10 minutes
- D. Call his physician and alert the code team for possible intervention
Correct Answer: A
Rationale: If anginal pain persists five minutes after the first nitroglycerin tablet, a second tablet should be administered, with up to three doses at five-minute intervals. Positioning with head lower than feet, narcotics, or calling the physician are not the immediate next steps.
When a client returns from undergoing a cardiac catheterization, it is most essential for the nurse to:
- A. check peripheral pulses.
- B. maintain NPO.
- C. apply heat to the insertion site.
- D. start range of motion exercises immediately.
Correct Answer: A
Rationale: Checking peripheral pulses post-cardiac catheterization is essential to detect complications like arterial occlusion or hematoma at the insertion site. Maintaining NPO, applying heat, or starting range of motion exercises immediately are not standard priorities.