A patient returns to the medical unit after a pulmonary angiogram. Which of the following instructions by the nurse would help prevent complications from the test?
a. "Don't eat or drink anything for 6 hours after the test because your gag reflex may not be intact."
b. "Try not to cough for 6 hours because this could cause irritation and bleeding."
c. "Stay in Fowler's position to help excrete the radioactive gas."
d. "Lie flat for 8 hours so the injection site does not bleed."
ANS: D
After angiography, place the patient flat in bed for 3 to 8 hours as ordered by the physician. Monitor vital signs, and observe the injection site for bleeding. A sandbag may be used to place pressure on the site. Encourage fluid intake to promote excretion of the dye. The gag reflex and gastrointestinal (GI) system are not affected by angiography. Fowler's position may increase risk of bleeding.
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