A nurse assesses a client recovering from a cerebral angiography via the client's right femoral artery. Which assessment should the nurse complete?
a. Palpate bilateral lower extremity pulses.
b. Obtain orthostatic blood pressure readings.
c. Perform a funduscopic examination.
d. Assess the gag reflex prior to eating.
ANS: A
Cerebral angiography is performed by threading a catheter through the femoral or brachial artery. The extremity is kept immobilized after the procedure. The nurse checks the extremity for adequate circulation by noting skin color and temperature, presence and quality of pulses distal to the injection site, and capillary refill. Clients usually are on bedrest; therefore, orthostatic blood pressure readings cannot be performed. The funduscopic examination would not be affected by cerebral angiography. The client is given analgesics but not conscious sedation; therefore, the client's gag reflex would not be compromised.
You might also like to view...
What is the term sandwich generation used to describe?
a. Young adults who tend to eat on the run b. Middle-aged adults caring for both child-ren and parents c. Single-parent households d. Older adults who are in transition from independent to assisted living
Which of the following interventions would promote airway clearance in a client?
1. Effective coughing 2. Ambulation 3. Place in supine position 4. Oxygen
Which statement is true about transitions?
a. Transitions are stressful events for all families. b. Transitions require coping skills which must be taught to some families. c. Transitions address the family skills necessary to meet developmental goals. d. Transitions present new situations and demands for families.
The single most important aspect that you bring to your job is proper hygiene and grooming.
Answer the following statement true (T) or false (F)