Author Question: A nurse is assisting in performing a cerebral arteriography for a client with a head injury. What is ... (Read 59 times)

azncindy619 · **on:** Jul 17, 2018

A nurse is assisting in performing a cerebral arteriography for a client with a head injury. What is the nurse's role when assisting with this procedure?

A) Restrict excess fluid intake during the arteriography procedure.
B) Apply a pressure device after the procedure to prevent scarring.
C) Check the insertion site every hour for signs of bleeding.
D) Obtain a baseline neurologic assessment before the procedure

Question 2

The nurse is dispensing a medication that is ordered for 0500 . Which of the following times can this medication usually be given and still be considered on time.

A) 0545
B) 0400
C) 0530
D) 0415

Bison · **Reply #1 on:** Jul 17, 2018

Answer to Question 1

D
Feedback:
The nurse should obtain a baseline neurologic assessment before the procedure because there is a possibility that a thrombus can become dislodged, causing an embolus to travel to the brain, leading to neurologic impairment. The nurse should encourage large amounts of fluids, unless contraindicated, because of the radiopaque dye used. The nurse should apply a pressure device to the insertion site to reduce edema, bleeding, and hematoma formation and not to prevent scarring. The insertion site should be checked for bleeding every 15 to 30 minutes for several hours, and not at the end of every hour.

Answer to Question 2

C
Feedback:
Most facilities allow 30 minutes on each side of the scheduled time for administering medications. In this case, a medication that is ordered for 0500 usually may be administered anytime between 0430 and 0530 and still be considered on time. Administering medications as ordered is important to maintain the medication's therapeutic effects. Deviation from the time window is considered a medication error.