Author Question: A patient recovering from a cardiac catheterization asks to be left alone. What should the nurse ... (Read 55 times)

TFauchery · **on:** Jun 25, 2018

A patient recovering from a cardiac catheterization asks to be left alone. What should the nurse explain to this patient?

1. It is important that you drink fluids after the procedure to protect kidney function. I will bring you some fresh water.
2. It is important that you ambulate, so I will return in 30 minutes to walk with you.
3. You are recovering well from the procedure, and rest is a good idea.
4. You need to do the leg exercises that you practiced before the procedure to maintain good circulation to your legs. After your exercises, you can rest.

Question 2

The nurse palpates a thrill on a patient's precordium. With which health problem should the nurse associate this finding?

1. severe valve stenosis
2. enlarged heart
3. stenosis of the carotid arteries
4. aortic aneurysm

Eazy416 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The dye used in angiography is nephrotoxic, and the patient should have adequate fluids after the procedure to eliminate the dye. The patient should lie with the affected leg extended for the prescribed period of time. There is no evidence that the patient is recovering well. Leg exercises are not recommended as they could dislodge the clot at the insertion site.

Answer to Question 2

Correct Answer: 1
A palpable thrill over the precordium indicates severe valve stenosis. A thrill is not present when the heart is merely enlarged. Stenosis of the carotid arteries would produce a thrill palpable on the neck over the carotid arteries, not the precordium. Increased pulsations in the aortic area indicate an aortic aneurysm.