The nurse is preparing a client who is undergoing a cardiac catheterization to check for congenital heart defects. Which of the following accurately describes a nursing consideration for this procedure?
A) State that the procedure will be painful, but pain medication will be given, as needed.
B) Warn the client that a "fluttering" may be felt in the heart as the catheter passes.
C) Tell the client that a general anesthetic will be given during the procedure.
D) Check the client's peripheral pulses every 30 minutes for an hour after the test.
B
Feedback:
The nurse should warn the client that during the procedure, he or she may feel a sensation of warmth and a "fluttering" in the heart, as the catheter passes through the blood vessels. Clients may be apprehensive about the procedure, so the nurse should explain that it is not painful, although it may be slightly uncomfortable. A local anesthetic is given during the procedure. The nurse should check the client's peripheral pulses every 15 minutes for an hour after the test and then frequently thereafter for up to 8 hours, depending on the insertion site used.
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