37. Which statements by a client prior to a cardiac catheterization would require a nurse to take further action? Select all that apply.
37. Which statements by a client prior to a cardiac catheterization would require a nurse to take further action? Select all that apply.
. "My kidney doctor has been suggesting I have this done for a year."
. "I haven't had anything to eat since dinner last night."
. "The last time I had a catheterization I had respiratory problems."
. "I am glad I can go home right after the procedure."
. "During the procedure I will feel warm all over."
Test-Taking Tip
Select responses that indicate an ongoing or past problem.
Content Area: Adult Health, Cardiovascular; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Reduction of Risk Potential/Diagnostic Tests
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Answer 1 is correct because the presence of renal dysfunction should be known before a cardiac catheterization, which increases the risk of renal failure from the dye. The nurse needs to be sure whether the history includes possible renal dysfunction. Answer 2 is incorrect because the client would be NPO prior to the procedure to prevent vomiting and possible aspiration. Answer 3 is correct because the history of a possible adverse response should be reviewed further. Answer 4 is correct because discharge will be determined by the client's status after the procedure and no bleeding at the catheter insertion site. Answer 5 is incorrect because feeling warm is an expected response to the contrast media.