A nurse is caring for a client who had PTCA 1 hour ago. Which complication of this proce-dure should the nurse remain alert for at this time?
A. Hypertensive crisis
B. Hyperkalemia
C. Infection
D. Bleeding
D
In the first few hours postprocedure, the nurse monitors for complications such as bleeding from the insertion site, hypotension, acute closure of the vessel, dye reaction, hypokalemia, and dys-rhythmias.
You might also like to view...
The nurse is caring for a child just admitted with diabetic ketoacidosis (DKA). Which of the physician's orders should the nurse question?
1. Neurological checks hourly 2. Insert urinary catheter and measure output hourly. 3. NPH insulin IV at 0.1 units/kg per hour 4. Stat serum electrolytes
The nurse schedules the postural drainage treatments to be done before breakfast because:
a. fluids that have accumulated overnight can be expelled. b. bronchial openings are still more fully open after a night's rest. c. appetite will be stimulated for a meal after fluid is expelled. d. the empty stomach reduces gagging.
A nurse is meeting with a young woman who has recently lost her mother and her job and has moved with her husband to a new city
She is complaining of acute anxiety and depression. What does the nurse knows that would be helpful to this patient? A) Adaptation often fails during stressful events and results in homeostasis. B) Stress is a part of our lives, and, eventually, this young woman will adapt. C) Acute anxiety and depression are seldom associated with stress. D) Sometimes too many stressors disrupt homeostasis, and, if adaptation fails, the result is disease.
Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is best?
a. "This type of monitoring system is com-plex and it is managed by skilled staff." b. "The monitoring system helps show whether blood flow to the brain is ade-quate." c. "The ventriculostomy monitoring system helps check for alterations in cerebral per-fusion pressure." d. "This monitoring system has multiple ben-efits including facilitation of cerebrospinal fluid drainage."