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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°°Client Needs:Physiological Integrity°°Integrated Process:Nursing Process/Assessment°°Content Area:Adult Health/Renal°°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: 8482570014A 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 roomIt is necessary to lie quietly on a hard x-ray table for about 4 hoursThe room is bright and well lit, and it is best to keep the eyes closedThe client may have feelings of warmth or flushing during the procedure Correct°Rationale:The nurse tells the client about to undergo cardiac catheterization roomthat 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 whichthe 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.°°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: 8482572239A 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?