A patient is scheduled for cardiac catheterization this morning. Which information should the nurse communicate to the treatment team? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Question

Select all that apply. 1. The night nurse reports the patient was confused and combative throughout the night.
2. The patient's potassium is 4.1 mEq/L.
3. The patient's serum creatinine is 1.6 mg/dL this morning.
4. The patient's previous S3 heart sound is not audible this morning.
5. The patient required intravenous morphine sulfate for pain control on one occasion during the night.

Answer 1

1,3
Rationale 1: The patient must be able to offer some cooperation for this test to be safe and effective.
Rationale 2: This is a normal potassium level and does not indicate increased risk for this procedure.
Rationale 3: Serum creatinine greater than or equal to 1.5 mg/dL is a relative contraindication for this procedure.
Rationale 4: The presence of a third heart sound can indicate congestive heart failure. The absence of this heart sound is a good indicator.
Rationale 5: One episode of pain controlled by morphine is not a contraindication for this procedure.