The nurse is recovering a client after a left-sided cardiac catheterization. What assessment finding requires immediate intervention?
a. Urinary output less than intake
b. Bruising at the insertion site
c. Slurred speech and confusion
d. Discomfort in the left leg
C
A left-sided cardiac catheterization specifically increases the risk for a cerebrovascular accident (CVA). A change in neurologic status needs to be acted on immediately. Discomfort and bruis-ing are expected at the site. If intake decreases, a client can become dehydrated because of dye excretion. The second intervention would be to increase the client's fluid status. Neurologic changes would take priority.
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