The nurse receives a client from the Angiography Department and ...

[Ebrown]

The nurse receives a client from the Angiography Department and prioritizes care to include which of the following? Select all that apply. Standard Text: Select all that apply.
 
  1. Place the client supine for several hours.
  2. Check the groin for bleeding or hematoma.
  3. Elevate the foot of the bed or place pillows under the legs.
  4. Apply heat to the calf of the leg.
  5. Place a sandbag on the femoral site.

Question 2

The nurse has been newly hired onto a respiratory unit with six negative pressure isolation rooms for clients with infections passed by respiratory aerosols, such as SARS or tuberculosis.
 
  Before the nurse can care for clients in these rooms, what must happen? 1. The nurse must be tested for tuberculosis.
  2. The nurse must be fitted for a N95 respirator.
  3. The nurse must attend a class on negative pressure isolation.
  4. The nurse will not care for these types of clients.

[dawsa925]

Answer to Question 1

1,2,5
Rationale: The client undergoing angiography has a large-bore catheter inserted through the femoral artery, so the priority of care is to monitor and prevent bleeding. The client will lie flat for several hours, and the groin will be checked regularly. A sandbag may be placed to maintain constant pressure on the arterial puncture site.

Answer to Question 2

2
Rationale 1: Because these conditions are spread through aerosolized secretions, it is important that the nurse wear a well-fitted mask that will not allow any of the particles to enter the lungs, so the nurse will need to be fitted for an N95 respirator mask that will be tested to assure a good fit before the nurse can care for these clients. Testing for tuberculosis is part of the hiring process, and the nurse already knows about negative pressure isolation.