11 hours ago a client undergoes a cardiac cath. following the procedure, the nurse discovers the client is bleeding from the cut-down site. which action does the nurse take first? applies pressure to the site the nurse cares for the client diagnosed with angina. the client is scheduled for a cardiac cath and tell the nurse, "i get a rash when i eat ... >> Go To The Portal
Which nursing assessment is most important immediately following cardiac catheterization? Check the extremities for pulses. Explanation: Following cardiac catheterization, trauma to the vessels used for catheterization is the major concern.
Explanation: Following cardiac catheterization, trauma to the vessels used for catheterization is the major concern. Bleeding of the femoral atery (commonly used in these precedures) can result in an accumulation of blood around the sheath insertion site decreassing blood flow to the extremities.
Close monitoring of a child post cardiac catheterization is also crucial for the early identification of complications that will minimize mortality and morbidity rates. Here are four (4) nursing care plans (NCP) for cardiac catheterization: Ineffective Peripheral Tissue Perfusion. Hyperthermia. Fear. Risk For Injury.
Check the extremities for pulses. Explanation: Following cardiac catheterization, trauma to the vessels used for catheterization is the major concern. Bleeding of the femoral atery (commonly used in these precedures) can result in an accumulation of blood around the sheath insertion site decreassing blood flow to the extremities.
the cardiac nurse instructs a patient scheduled to receive a pacemaker about how the usual cardiac conduction cycle flows. which of the following should the nurse identify as the natural pacemaker of the heart?
the nurse performs a blood pressure screening at the local grocery store. the nurse knows that which of the following blood pressure readings indicates stage 1 hypertension?
a medical surgical unit is being converted into a cardiac unit due to increasing numbers of clients coming to the hospital with cardiac conditions. the nurse manager reviews with staff the differences between defibrillation and cardioversion. which should the manager identify as characteristics that these two procedures have in common.
Explanation: The intended action for both defibrillation and cardioversion is to completely depolarize all the myocardial cells at once so the sinoatrial (SA) node can reestablish its role as the pacemaker of the heart. THe paddle placement is the same for both procedures, with one paddle over the right sternal border and the other over the apex of the heart.
Common symptoms are tachypnea, anxiety, skin pallor, and cyanosis. The client may have cool and clammy skin, may cough up pink frothy sputa, and may have dyspnea and orthopnea. Auscultation of the client's lungs may reveal wheezing, crackles, and rhonchi throughout.
Myoglobin is a protein found in cardiac and skeletal muscle. Myoglobin levels begin to rise one hour after a myocardial cell death and peak at 4-6 hours.
While maintaining the cervical spine, roll the person supine to ensure the person is in position for cardiopulmonary resuscitation (CPR) if needed. Explanation: The initial action by the nurse or any lay caregiver is to position the client to recieve resuscitation efforts. For resuscitation efforts and evaluation to be effective, the victim must be supine and on a firm, flat surface. If the victim is lying face down, roll the victim as a unit so that the head, shoulders, and torso move simultaneously without twisting. The head and neck should remain in the same plane as the torso, and the body should be moved as a unit. THe non-breathing victim should be supine with the arms alongside the body. The victim is now appropriately positioned for CPR.
Ventricular depolarization. Explanation: The QRS complex represents depolarization of the ventricles. THis occurs after the artiral depolarization, represented by the P wave, and the subsequent PR segment, which represents the length of time it takes for the impulse to travel through the AV node, bundle of His system, and Purkinje fibers. Ventricular depolarization may be conceptualized as ventricular systole.
Insert the graft. Explanation: The suregon will then take an artery or vein from the leg, arm, stomach, or chest. The graft is connected to the blocked coronary artery. The new blood vessel bypassed the blocked portion to crete a new path for blood flow to the heart muscle .
Explanation: Hydrochlorothiazide (a thiazide diuretic that promotes the excreation of sodium chloride, water, and potassium) can be taken with or without meals and preferably early in the day. The duration of action od HCTZ is 12 hours. Therefore, if given with the morning meal, the diuresing process should be complete prior to the client retiring for the night. THis is the preferred time to administerthe medication as the client is not required to make any adjustments to lifestyle, which will increase compliance with the medication regimen.
The nurse assesses a client with a serum sodium level of 138 mEq/dL (138 mmol/L), potassium level of 3.8 mEq/dL (3.8 mmol/L) and calcium level of 7.8 mg/dL (1.95 mmol/L). For which client symptom does the nurse assess? (Select all that apply.)
D)A client, well known and well liked by staff, whose diagnostic testing reveals a brain tumor.
A. The area around the insertion site has a bluish discoloration.
The cardiac nurse instructs a patient scheduled to receive a pacemaker about how the usual cardiac conduction cycle flows. Which of the following should the nurse identify as the natural pacemaker of the heart?
A medical surgical unit is being converted into a cardiac unit due to increasing numbers of clients coming to the hospital with cardiac conditions. The nurse manager reviews with the staff the differences between defibrilation and cardioversion.
The HCP prescribes hydrochlorothiazide 50mg once a day for a client. When is the BEST time for the nurse to administer this medication?
bleeding from any site can indicate hemorrhage, the primary concern with anticoagulant drugs such as heparin; immediate management of epistaxis and notification of HCP should occur; if needed, protamine sulfate may be given. The nurse understands that intermittent claudication is. pain caused by walking.
The nurse instructs the client to take own pulse. Which client action indicates to the nurse further instruction is needed?
The nurse cares for the client with systolic heart failure. The nurse is to administer a medication that decreases preload. Which best describes the desired effect of the medication for this client?
The nurse cares for the client diagnosed with rheumatic carditis. The nurse makes the nursing diagnosis of activity intolerance r/t reduced cardiac reserve. Which long-term goal is MOST appropriate for the nurse to work toward when developing the plan of care?
C) The HCP will use a blood vessel from the leg or chest to create a new blood supply by bypassing the obstructed coronary artery. This increases the blood supply to the heart.
The nurse assesses the apical heart rate in an infant. Where does the nurse locate the point of maximum intensity (PMI)?
The instructor tells the class that oxygen is given to the client experiencing an MI to keep the heart muscle well-oxygenated. This is done to prevent which problem that the ischemic heart muscle is likely to develop?
patency of the aortic graft will be assured with the systemic reading.
Checks for any edema or weight gain. fatigue shortness of breath and tachycardia or signs of heart failure, nurse should check for signs of edema or waiting to determine if the patient is retaining fluid from heart failure. One week from following a myocardial infarction a patient complains to the nurse of fatigue.
By dilating the peripheral vessels, blood pressure is decreased thereby decreasing preload: the heart does not have to pump as hard to eject blood and therefore the workload of the heart is decreased relieving angina. The nurse cares for a client diagnosed with angina.
2. The nursing student checks the pulses in the right leg hourly. 3. The nursing student accurately records intake/output. 4. The nursing student obtains a Doppler evaluation of the clients right leg every 2 hours. 5.
6. The nursing student evaluates the clients left leg
The nurse is caring for the client receiving methyldopa. The nurse instructs the client about common adverse effects of met hyldopa. Which information does the nurse include?
To prepare the patient, teach him about the procedure and answer his questions. Provide booklets, videos, or other educational tools to reinforce learning . The cardiologist will discuss benefits and risks, such as dysrhythmias, bleeding, stroke, or MI. Make sure the patient has provided informed consent.
After the test, the catheters are removed and bleeding is controlled with direct pressure or with a vascular closure device. He'll be continuously assessed and monitored in a postcardiac catheterization recovery area. Depending on his condition and the method used to stop bleeding, he'll spend some time on bed rest with the affected extremity immobilized.
Ask if he has a history of asthma, which is associated with an increased likelihood of a contrast reaction. Also note if he's allergic to medications—including lidocaine, the local anesthetic commonly used for vascular access.
The femoral and brachial arteries are common catheter insertion sites, although the radial artery also is an option. Assess and mark pulses on the extremity that will be used. Have the patient void. (He may wear his dentures and eyeglasses during the test.) Administer analgesics and sedatives as directed.
The testing takes place in a cool, darkened room. He'll lie on a special procedure table where X-rays can be taken, either by repositioning the table or by moving the X-ray machine around him. He'll be attached to equipment for continuous cardiac, BP, and pulse oximetry monitoring.
Depending on the facility and the patient's condition, cardiac catheterization may be performed as either an inpatient or an outpatient procedure. Indications for cardiac catheterization include definitive or suspected myocardial ischemia, syncope, valvular heart disease, and acute myocardial infarction (MI).
Nursing care planning goals for a child who will undergo cardiac catheterization include promoting adequate perfusion, alleviating fear and anxiety, providing teaching and information, and preventing injury. Close monitoring of a child post cardiac catheterization is also crucial for the early identification of complications ...
Keep pressure dressing on the catheterization site and assess every 30 minutes for bleeding. If bleeding does occur, apply continuous direct pressure 1 inch above the puncture site and immediately report to the physician.
Therapeutic, or interventional, cardiac catheterizations use balloon angioplasty to correct such defects as stenotic valves or vessels , aortic obstruction (particularly re-coarctation of the aorta ), and closure of patent ductus arteriosus.
Catheterization allows measurement of blood gases and pressures within the heart chambers and great vessels; measurement of cardiac output; and detection of anatomic defects such as septal defects or obstruction to blood flow. Therapeutic, or interventional, cardiac catheterizations use balloon angioplasty to correct such defects as stenotic valves ...
Cardiac catheterization is an invasive procedure in which a small flexible catheter is inserted through a vein or artery (usually the femoral vein) into the heart for diagnostic and therapeutic purposes . It is usually done with angiography as radiopaque contrast media is injected through the catheter and visualization of the blood flow is seen on fluoroscopic monitors. Catheterization allows measurement of blood gases and pressures within the heart chambers and great vessels; measurement of cardiac output; and detection of anatomic defects such as septal defects or obstruction to blood flow.
Assess parents’ and child’s understanding of catheterization and any special fears. child, fears may include separation from parents, fear of the unknown ( if the first catheterization), fear of mutilation and death, or remembered fear and pain (if repeat catheterization).
Monitor vital signs every 15 minutes for 4, every 30 minutes for 3 hours, then every 4 hours. Vital sign changes may reveal blood loss and with internal bleeding may be the first indicator of health problem. Gather baseline laboratory results. from pre-catheterization assessment.