PNR 309 FINAL EXAM - CAD, PAD, MI, Stroke,
TIA, Diabetes, Visual and Auditory Disorders,
Neurological disorders (Qs & As)
Save
Terms in this set (130)
,The nurse is scheduling a c. The nurse will instruct the client to hold the
client for a cardiac metformin for 24 hours before the procedure and 48
catheterization. The client hours after the procedure
has type 2 diabetes and
takes metformin. Which Rationale:
action will the nurse take Metformin is an oral antidiabetic medication used for
prior to scheduling the treatment of diabetes mellitus type 2, when lifestyle
procedure? changes and weight loss has not adequately lowered
the blood glucose. The nurse should teach the client
a. The nurse will instruct to hold the metformin for 24 hours before the
the client to have a fasting procedure and 48 hours after any procedure. This is
A1C snd glucose due to the risk of lactic acidosis associated with the
tolerence test prior to the combination of anesthesia and/or contrast medium
procedure with metformin. The contrast medium may affect
b. The nurse will instruct kidney function, and metformin in the system may
the client to eat low increase risk of lactic acidosis. Holding the drug 24
carbohydrate diet three hours prior and 48 hours following the procedure will
days prior to the minimize complications.
procedure
c. The nurse will instruct - nstructing the client to have a fasting A1C and
the client to hold the glucose tolerance test prior to the procedure is not
metformin for 24 hours necessary nor the priority.
before the procedure and - although eating a low-carbohydrate, 1800-calorie
48 hours after the American Diabetic Association diet is always
procedure important for a diabetic, the most important action for
d. The nurse instructs the the nurse to take is teaching how to take metformin.
client to take all
medications the morning
of the procedure but not
eat or drink afterwards.
, a. Sudden cardiac arrhythmia
The nurse is caring for a
b. Emboli
young adult client
c. Sudden mental status changes
following a balloon
e. Stroke
valvuloplasty of the aortic
valve. During the post-
Complication of valvuloplasty is a sudden cardiac
procedure assessment,
arrhythmia such as atrial fibrillation and heart block
the nurse monitors for
are risk factors, along with emboli. Therefore,
which complications
coagulation therapy may be required postoperatively.
related to valvuloplasty?
Sudden mental status changes such as delirium may
Select all that apply.
occur following post-procedure which may result
from higher microembolic load, neuroinflammation in
a. Sudden cardiac
the brain, cerebral hypoperfusion, and alteration of
arrhythmia
cerebral acetylcholine levels. Nursing actions should
b. Emboli
include frequent reorientation strategies and neuro
c. Sudden mental status
assessments immediately post-operatively.
changes
d. Redness near the radial
- redness near the venous access site is incorrect
vein access site
since the access is arterial not venous. The most
e. Stroke
common site is the femoral artery.
, c. Call for help and apply pressure to the site
immediately
The nurse received report
from the cardiac
Rationale:
catheterization team
Hemorrhage is excessive bleeding that can lead to
following a percutaneous
shock and death. It is especially a risk if the client is
coronary intervention
bleeding from an artery since arteries are high
(PCI) procedure. During
pressured vessels directly coming from the heart. The
the assessment, the nurse
major sign of bleeding or hemorrhage from an artery
notices a blood-soaked
is obvious external bleeding noted on bandages or
dressing and bleeding
hard, indurated areas near the site, such as the board-
from the femoral artery
like abdomen for abdominal hemorrhage. The client
access site. What action
will quickly experience shock from arterial bleeding,
should the nurse perform
including decreasing blood pressure, increasing heart
first?
rate, decreasing level of consciousness, and cool
extremities. Quick action by the nurse, including
a. Add another dressing
calling for help and applying pressure to the site
layer on top of the
immediately is necessary to keep the client alive.
saturated dressing.
b. Raise the leg and place
- Adding another dressing layer on top of the
the client in trendelenberg
saturated dressing of an arterial site will not stop the
position
bleeding and delay important life-saving actions.
c. Call for help and apply
- Raising the lower extremity or placing the client in
pressure to the site
trendelenburg will not stop the bleeding. Sometimes
immediately
this is used to elevate the blood pressure, but never
d. Immediately pull on the
before other actions to stop the bleeding have
femoral sheath until it is
occurred.
out of the femoral site.
- Increased bleeding and possible hemorrhage may
occur if the femoral sheath is pulled out.
TIA, Diabetes, Visual and Auditory Disorders,
Neurological disorders (Qs & As)
Save
Terms in this set (130)
,The nurse is scheduling a c. The nurse will instruct the client to hold the
client for a cardiac metformin for 24 hours before the procedure and 48
catheterization. The client hours after the procedure
has type 2 diabetes and
takes metformin. Which Rationale:
action will the nurse take Metformin is an oral antidiabetic medication used for
prior to scheduling the treatment of diabetes mellitus type 2, when lifestyle
procedure? changes and weight loss has not adequately lowered
the blood glucose. The nurse should teach the client
a. The nurse will instruct to hold the metformin for 24 hours before the
the client to have a fasting procedure and 48 hours after any procedure. This is
A1C snd glucose due to the risk of lactic acidosis associated with the
tolerence test prior to the combination of anesthesia and/or contrast medium
procedure with metformin. The contrast medium may affect
b. The nurse will instruct kidney function, and metformin in the system may
the client to eat low increase risk of lactic acidosis. Holding the drug 24
carbohydrate diet three hours prior and 48 hours following the procedure will
days prior to the minimize complications.
procedure
c. The nurse will instruct - nstructing the client to have a fasting A1C and
the client to hold the glucose tolerance test prior to the procedure is not
metformin for 24 hours necessary nor the priority.
before the procedure and - although eating a low-carbohydrate, 1800-calorie
48 hours after the American Diabetic Association diet is always
procedure important for a diabetic, the most important action for
d. The nurse instructs the the nurse to take is teaching how to take metformin.
client to take all
medications the morning
of the procedure but not
eat or drink afterwards.
, a. Sudden cardiac arrhythmia
The nurse is caring for a
b. Emboli
young adult client
c. Sudden mental status changes
following a balloon
e. Stroke
valvuloplasty of the aortic
valve. During the post-
Complication of valvuloplasty is a sudden cardiac
procedure assessment,
arrhythmia such as atrial fibrillation and heart block
the nurse monitors for
are risk factors, along with emboli. Therefore,
which complications
coagulation therapy may be required postoperatively.
related to valvuloplasty?
Sudden mental status changes such as delirium may
Select all that apply.
occur following post-procedure which may result
from higher microembolic load, neuroinflammation in
a. Sudden cardiac
the brain, cerebral hypoperfusion, and alteration of
arrhythmia
cerebral acetylcholine levels. Nursing actions should
b. Emboli
include frequent reorientation strategies and neuro
c. Sudden mental status
assessments immediately post-operatively.
changes
d. Redness near the radial
- redness near the venous access site is incorrect
vein access site
since the access is arterial not venous. The most
e. Stroke
common site is the femoral artery.
, c. Call for help and apply pressure to the site
immediately
The nurse received report
from the cardiac
Rationale:
catheterization team
Hemorrhage is excessive bleeding that can lead to
following a percutaneous
shock and death. It is especially a risk if the client is
coronary intervention
bleeding from an artery since arteries are high
(PCI) procedure. During
pressured vessels directly coming from the heart. The
the assessment, the nurse
major sign of bleeding or hemorrhage from an artery
notices a blood-soaked
is obvious external bleeding noted on bandages or
dressing and bleeding
hard, indurated areas near the site, such as the board-
from the femoral artery
like abdomen for abdominal hemorrhage. The client
access site. What action
will quickly experience shock from arterial bleeding,
should the nurse perform
including decreasing blood pressure, increasing heart
first?
rate, decreasing level of consciousness, and cool
extremities. Quick action by the nurse, including
a. Add another dressing
calling for help and applying pressure to the site
layer on top of the
immediately is necessary to keep the client alive.
saturated dressing.
b. Raise the leg and place
- Adding another dressing layer on top of the
the client in trendelenberg
saturated dressing of an arterial site will not stop the
position
bleeding and delay important life-saving actions.
c. Call for help and apply
- Raising the lower extremity or placing the client in
pressure to the site
trendelenburg will not stop the bleeding. Sometimes
immediately
this is used to elevate the blood pressure, but never
d. Immediately pull on the
before other actions to stop the bleeding have
femoral sheath until it is
occurred.
out of the femoral site.
- Increased bleeding and possible hemorrhage may
occur if the femoral sheath is pulled out.
