Nursing Care and Cardiac Catheterization
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Questions and Answers

What pulse should the nurse palpate after a cardiac catheterization with a left antecubital insertion site?

  • Radial pulse in the left arm
  • Ulnar pulse in the left arm
  • Brachial pulse in the left arm (correct)
  • Radial pulse in the right arm

Which sign indicates that a client has developed a thrombus after vascular surgery?

  • Dull, aching calf pain (correct)
  • Soft, pliable calf muscle
  • Positive Kernig's sign
  • Elevated blood pressure

What should the nurse do when administering 2 units of packed RBCs to an older adult client?

  • Use a 16-gauge needle to obtain venous access
  • Obtain the client's vital signs every 30 min throughout the transfusion (correct)
  • Administer each unit over 1 hour
  • Use blood that is less than a week old

What manifestation should alert the nurse that a client with valvular heart disease is developing left-sided heart failure?

<p>Breathlessness (D)</p> Signup and view all the answers

What action should the nurse take for a client with hypertension and a potassium level of 6.8 mEq/L?

<p>Obtain a 12-lead ECG (A)</p> Signup and view all the answers

Why should the nurse avoid suggesting a salt substitute to a client with hypertension and a potassium level of 6.8 mEq/L?

<p>Salt substitutes can increase potassium levels (A)</p> Signup and view all the answers

What should the nurse monitor the client for when administering platelets?

<p>Spontaneous bleeding (A)</p> Signup and view all the answers

What should the nurse do first when the client reports lower back pain, feeling chilled, and itchy while receiving platelets?

<p>Stop the infusion (B)</p> Signup and view all the answers

What should the nurse do when the client reports pain in the jaw, back, and shoulder, and shortness of breath and nausea?

<p>Obtain an EKG (D)</p> Signup and view all the answers

What should the nurse do to determine if the client is experiencing a myocardial infarction?

<p>Perform a 12-lead ECG (D)</p> Signup and view all the answers

When should the nurse anticipate the CK isoenzymes will begin to rise if the client has had a myocardial infarction (MI)?

<p>Within 2-4 hours (C)</p> Signup and view all the answers

What symptom would the nurse expect to assess in a client experiencing a myocardial infarction?

<p>All of the above (D)</p> Signup and view all the answers

When caring for a client with tuberculosis, what personal protective equipment should the nurse wear?

<p>OSHA-approved N95 respirator mask (D)</p> Signup and view all the answers

What is an effective way to prevent chronic bronchitis?

<p>Smoking cessation (B)</p> Signup and view all the answers

What indicates that a chest tube connected to suction and a water seal drainage system is functioning properly?

<p>Fluctuation of the fluid level within the water seal chamber (B)</p> Signup and view all the answers

What is a common risk factor for chronic obstructive pulmonary disease?

<p>Smoking (B)</p> Signup and view all the answers

What should the nurse teach the client with chronic obstructive pulmonary disease to do before eating?

<p>Rest for at least 30 minutes (C)</p> Signup and view all the answers

What is an indication of a problem with the chest tube and water seal drainage system?

<p>Bloody drainage in the collection chamber (A)</p> Signup and view all the answers

When caring for a client with multiple system trauma following a motor vehicle crash, what should the nurse prioritize?

<p>Airway protection (D)</p> Signup and view all the answers

What respiratory pattern is characterized by breathing ranging from very deep to very shallow with periods of apnea?

<p>Breathing ranging from very deep to very shallow with periods of apnea (B)</p> Signup and view all the answers

What acid-base imbalance is a client at risk for developing initially with shallow and slow respirations of 9/min?

<p>Respiratory acidosis (A)</p> Signup and view all the answers

When planning care for a client with acute respiratory distress syndrome (ARDS), what intervention should the nurse include in the plan?

<p>Administer low-flow oxygen continuously via nasal cannula (C)</p> Signup and view all the answers

What is the primary focus of care for a client with multiple system trauma?

<p>Maintaining airway patency (A)</p> Signup and view all the answers

What is the primary goal of care for a client with ARDS?

<p>Maintaining adequate oxygenation (A)</p> Signup and view all the answers

What should the nurse report to the provider immediately after the removal of the client's endotracheal tube?

<p>Stridor (B)</p> Signup and view all the answers

What should the nurse identify as the finding of a client's chest moving inward during inspiration and bulging out during expiration?

<p>Flail chest (A)</p> Signup and view all the answers

What adventitious breath sound should the nurse expect to hear when auscultating the lungs of a client with pleurisy?

<p>Loud, scratchy sounds (A)</p> Signup and view all the answers

Which statement by the client indicates an understanding of self-management strategies for emphysema?

<p>I will inhale slowly through pursed lips to help me breathe better. (D)</p> Signup and view all the answers

What acid-base balance is indicated by an arterial blood gas value of pH 7.32, PaCO2 48 mm Hg, and HCO3 23 mEq/L?

<p>Respiratory acidosis (B)</p> Signup and view all the answers

What should the nurse identify as the finding of a client's oral secretions increasing after the removal of the endotracheal tube?

<p>Copious oral secretions (A)</p> Signup and view all the answers

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