A client with a history of renal insufficiency is scheduled for a cardiac catheterization. What does the nurse expect to do for this client before the catheterization? (Select all that apply.)
a. Insert a Foley catheter.
b. Administer IV fluids.
c. Assess for allergies to iodine.
d. Assess laboratory results.
e. Assess and mark pulses.
f. Insert a central venous catheter.
g. Have the client sign the consent.
B, C, D, E, G
If the client has kidney disease (as indicated by laboratory results), fluids and Mucomyst may be given 12 to 24 hours before the procedure for renal protection. The client should be assessed for allergies to iodine, including shellfish. The contrast medium used during the catheterization con-tains iodine. Pulses need to be marked for ease in locating them after the procedure. Findings need to be properly documented, and the primary care provider and other members of the health care team need to be notified of abnormal findings.
You might also like to view...
A young client who was severely injured in a motor vehicle accident has died. The client had signed a donor card a few years ago, expressing the wish to donate his corneas. Which of the following statements is true of organ donation?
A) Corneas should be harvested within a few hours. B) Organs can be harvested on verbal agreement. C) Corneas can only be donated by clients less than 55 years of age. D) Organ donation need not be discussed with the next of kin.
Acute myocardial infarction (AMI) can be classified as which of the following? (Select all that apply.)
a. Angina b. Nonischemic c. Non–Q wave d. Q wave
16.8°C converted to Fahrenheit is ________ (round to the nearest tenth).
Fill in the blank(s) with the appropriate word(s).
The nurse is collecting data for a patient. The nurse would check for Homans' sign by which of these methods?
a. Observing the calf and thigh color bilaterally b. Listening with a Doppler to posterior bilateral tibial pulses c. Measuring the patient's calf and thigh circumference bilaterally d. Dorsiflexing the patient's foot sharply and asking if calf pain occurs