Nokea
You are to provide nursing care for a patient who just had a femoral arteriogram. Which of the following actions would take priority?
- A. Assessment of vital signs
- B. Assessment of puncture site for bleeding
- C. Assessment of temperature of lower extremity on the affected side
- D. Keeping the affected leg straight
- E. Assessment of ability to void
- F. Providing PO fluids
Correct Answer: B
Rationale: Assessing the puncture site for bleeding is the priority to prevent life-threatening hemorrhage post-femoral arteriogram.
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Which of the following urinalysis findings would you need to report to the physician?
- A. Protein: 30 mg/dL
- B. Bacteria: 0
- C. WBCs: 3 to 4 per high-power field
- D. pH: 4.1
- E. Specific gravity: 1.025
- F. RBCs: 10 per high-power field
Correct Answer: A,D,F
Rationale: Protein (30 mg/dL), low pH (4.1), and RBCs (10 per high-power field) may indicate renal issues, infection, or other abnormalities requiring physician attention.
You should measure the abdominal girth and weight of a patient who is about to undergo:
- A. a glucose tolerance test
- B. a CT scan of the cerebrum
- C. an alkaline phosphatase test
- D. a paracentesis
- E. a lumbar puncture
Correct Answer: D
Rationale: Measuring abdominal girth and weight is critical before paracentesis to monitor fluid removal and assess for complications.
When performing a 12-lead ECG, you know that you will apply:
- A. 12 lead wires
- B. 10 lead wires
- C. 6 lead wires
- D. 4 lead wires
Correct Answer: B
Rationale: A 12-lead ECG requires 10 lead wires to record electrical activity from multiple angles of the heart.
Which of the following preparatory steps would you be likely to perform prior to a barium enema?
- A. Start an IV line the day prior to the test
- B. Keep the patient NPO 48 hours prior to the test
- C. Administer a laxative the day before the test
- D. Place the patient on a clear liquid diet for 24 hours prior to the test
- E. Administer an enema the evening before the test
Correct Answer: C,D,E
Rationale: A laxative, clear liquid diet, and enema are standard preparations to ensure the colon is clear for a barium enema.
Which of the following tests or procedures is (are) beneficial in evaluation of the kidneys?
- A. IV pyelogram
- B. 24-hour urine
- C. Oral glucose tolerance test
- D. Urinalysis
- E. Glomerular filtration rate
- F. Creatinine
Correct Answer: A,B,D,E,F
Rationale: IV pyelogram, 24-hour urine, urinalysis, GFR, and creatinine tests assess kidney function, structure, or waste excretion.