NCLEX-PN® ExaminationReduction of Risk PotentialMedium
A client is scheduled for a cardiac catheterization. Which statement by the client indicates a need for further teaching by the LPN?
- A“I will need to report any chest pain or numbness in my leg.”
- B“I will need to lie flat for several hours after the procedure.”
- C“I should feel some warmth when the dye is injected.”
- D“I can eat a light breakfast on the morning of the procedure.”
Show answer & explanationAnswer & explanation
Correct answer: D. “I can eat a light breakfast on the morning of the procedure.”
Clients undergoing cardiac catheterization are typically NPO (nothing by mouth) for several hours prior to the procedure to prevent aspiration. Eating a light breakfast indicates a lack of understanding.
Why the other options are wrong
- A. Monitoring for complications like chest pain (indicating arterial dissection or spasm) or numbness/tingling in the extremity (indicating compromise of circulation) is crucial post-procedure.
- B. Lying flat after the procedure helps prevent bleeding at the access site, especially if femoral access was used.
- C. The injection of contrast dye often causes a temporary sensation of warmth or flushing, which is a normal response.
Cardiac Catheterization Pre-procedure Care
Nurses prepare clients for cardiac catheterization by providing education, ensuring NPO status, and assessing for allergies.
- NPO status (typically 6-12 hours) is essential to prevent aspiration.
- Assess for allergies to iodine, shellfish, or contrast dye.
- Educate the client about sensations during the procedure (e.g., warmth from dye).
Memory trick: Before the heart journey, make sure the stomach is empty, like a pre-flight checklist for an airplane.