°
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Test-Taking Strategy:
Use the process of elimination and note the strategic word
“abnormal” in the query of the question. The words “the presence of” should direct you to the
correct option. Review normal urinalysis findings if you had difficulty with this question.
°
°
Level of Cognitive Ability:
Understanding
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°
Client Needs:
Physiological Integrity
°
°
Integrated Process:
Nursing Process/Assessment
°
°
Content Area:
Adult Health/Renal
°
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References:
Black, J., & Hawks, J. (2009).
Medical-surgical nursing: Clinical
management for positive outcomes
(8th ed., pp. 675, 676). St. Louis: Saunders.
°
Ignatavicius, D., & Workman, M. (2010).
Medical-surgical nursing: Patient-
centered collaborative care
(6th ed., pp. 1539, 1541). St. Louis: Saunders.
Awarded 1.0 points
out of 1.0 possible points.
°
35.
ID: 8482570014
A nurse provides information to a client who is scheduled for
cardiac catheterization to rule out coronary occlusion. The nurse should tell the client that:
The procedure is performed in the operating room
It is necessary to lie quietly on a hard x-ray table for about 4 hours
The room is bright and well lit, and it is best to keep the eyes closed
The client may have feelings of warmth or flushing during the procedure
Correct
°
Rationale:
The nurse tells the client about to undergo cardiac catheterization room
that the procedure is performed in a darkened room in the radiology department. A local
anesthetic is used, so there is little or no pain with catheter insertion. The procedure may take as
long as 2 hours, during which time the client may feel various sensations including a feeling of
warmth or flushing, with catheter passage and dye injection. The x-ray table is hard and may be
tilted periodically to obtain the best possible views.
°
°
Test-Taking Strategy:
Use the process of elimination and read each option
carefully. Recalling that this is a diagnostic procedure will help you eliminate the option in which
the nurse tells the client that the procedure is performed in the operating room. The duration of
the procedure (4 hours) identified in this incorrect option should cause you to eliminate it, and
the use of the words “bright and well lit” indicate an incorrect option. Review the procedure for
cardiac catheterization if you had difficulty with this question.
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Level of Cognitive Ability:
Applying
°
°
Client Needs:
Physiological Integrity
°
°
Integrated Process:
Nursing Process/Implementation
°
°
Content Area:
Adult Health/Cardiovascular
°
°
Reference:
Pagana, K., & Pagana, T. (2009).
Mosby’s diagnostic and laboratory
test reference
(9th ed., p. 226). St. Louis: Mosby.
Awarded 1.0 points out of 1.0 possible points.
°
36.
ID: 8482572239
A client who has sustained a myocardial infarction is
scheduled to have an echocardiogram. Which of the following measures should the nurse take
before the procedure?
