A patient has had a cardiac catheterization. Following the procedure, the nurse's efforts are aimed at preventing and detecting which common problems?
a. chills and fever c. diuresis and dehydration
b. clotting and bleeding d. muscle spasm and joint pain
B
Post cardiac catheterization care includes monitoring vital signs and ECG every 15 minutes; assess laboratory results to include complete blood count and coagulation studies; apply pressure to the vascular access site; keep the head of the bed at a 30 degree angle or lower and keep the patient on bedrest for 4 to 6 hours to allow complete sealing of the arterial puncture site; assess the puncture site for any bleeding, hematoma, or absence of pulse; assess the patient's pulses bilaterally lower extremities; encourage hydration; monitor intake and output; and monitor for delayed reaction to dye used as contrast medium.
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A 62-year-old white male whose chief complaint is abdominal discomfort, is admitted to your unit. The patient is jaundiced and has an enlarged abdomen
To further evaluate for ascites, you ask the patient to kneel and assume the knee-chest position for several minutes. You then percuss his abdomen. Which of the following confirms the presence of ascites in the patient's abdomen? a. increased tympany over the abdomen b. dullness over the umbilical area c. increased dullness in the flanks d. increased dullness in the right upper quadrant over the liver
An RN is a team leader for a small module of patients. While listening to a tape-recorded report on Mr. Smith, one of your team members remarks, "My mother lives near him and she says his wife is a terrible housekeeper"
As the leader of the team, what should the RN do? A) Ask the informant to be quiet. B) Include the information in report for the next shift. C) Ask the team member what the purpose was in sharing the information. D) Ignore the comment.
The nurse is very busy caring for a large case load. An adult patient mentions that by having slow mobility, "people just do things for me rather than allowing me to do as much as possible on my own."
To solve the dilemma of needing to conserve time versus supporting the patient's involvement in self- care, what principle may help the nurse? a. Veracity c. Justice b. Fidelity d. Autonomy
Which of the following diagnostic tests would the nurse question when ordered for a patient diagnosed with pelvic inflammatory disease (PID)?
1. CBC (complete blood count) with differential 2. Vaginal culture for Neisseria gonorrhoeae 3. Throat culture for Streptococcus A 4. RPR (rapid plasma reagin)