Which nursing interventions would be appropriate after angioplasty? (Select all that apply.)
a. Elevate the head of the bed by 45 degrees for 6 hours
b. Assess pedal pulses on the involved limb every 15 minutes for 2 hours
c. Monitor the vascular hemostatic device for signs of bleeding
d. Instruct the patient bend his/her knee every 15 minutes while the sheath is in place
B, C, D
The head of the bed must not be elevated more than 30 degrees, and the patient should be instructed to keep the affected leg straight. Bed rest is 6 to 8 hours in duration, unless a vascular hemostatic device is used. The nurse observes the patient for bleeding or swelling at the puncture site and frequently assesses adequacy of circulation to the involved extremity.
You might also like to view...
What are the steps involved in instrument development? (Select all that apply.)
a. Clarify the target population b. Define concept to be measured c. Develop items d. Estimate reliability and validity e. Statistically analyze individual items f. Develop implications from the item analysis
The perinatal nurse knows that breastfeeding is contraindicated if a mother has:
Select all answers that apply: A) Active tuberculosis B) An active herpes lesion on her nipple C) Been taking venlafaxine (Effexor) for anxiety D) An infant diagnosed with phenylketonuria
Parenteral nutrition (PN) use in AIDS clients is reserved for those clients with nonfunctioning GI tracts
It has been suggested that consuming something different may be just as effective, with none of the risk for preventing weight loss in clients with severe malabsorption. Which of the following is that alternative? A) Standard EN formula C) Hydrolyzed EN formula B) Fiber added EN formula D) Protein-added EN formula
A patient who is taking interferon is also prescribed ribavirin (Virazole). Which laboratory blood test result for this patient does the nurse report immediately to the prescriber?
a. Red blood cells (RBCs) 2.2 million/mm3 b. White blood cells (WBCs) 6000/mm3 c. Sodium 134 mEq/L d. International normalized ratio (INR) 1.6