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</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</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</p> Signup and view all the answers

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

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

    What is an effective way to prevent chronic bronchitis?

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

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

    <p>Smoking</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</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</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</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</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</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</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</p> Signup and view all the answers

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

    <p>Maintaining adequate oxygenation</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</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</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</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.</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</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</p> Signup and view all the answers

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