Question

The nurse preparing a client for a cardiac catheterization and revascularization should include which information in the pre-op teaching. A. The client will be asleep during the procedure B. The client may experience a hot flash as the dye is injected C. There may be a sand bag placed over the cannulated site following the procedure D. The client will be on fluid restrictions until the gag reflex returns E. The client may experience chest pain when the balloon is inflated F. The client will experience a headache as the dye is injected

Short answer

B, C, E

Step-by-step solution

Understand the Procedure

Cardiac catheterization is a medical procedure used to diagnose and treat cardiovascular conditions. It involves inserting a catheter into the heart via blood vessels.

Expected Experiences During the Procedure

Identify what the client might feel or experience during the procedure. The correct information includes possible sensations like a hot flash during dye injection or chest pain when the balloon is inflated, which corresponds to options B and E.

Post-Procedure Protocol

Understand the measures taken after the procedure. A sand bag may be placed over the puncture site to prevent bleeding (option C) whereas fluid restrictions and waiting for the gag reflex to return is more relevant to procedures involving anesthesia, which is not specifically noted for this procedure.

Validating the Correct Information

List the correct information for pre-op teaching: Options B, C, and E are appropriate for inclusion as pre-op teaching details for a client undergoing a cardiac catheterization and revascularization.

Key concepts

preoperative teaching

Preoperative teaching is crucial to ensure that patients are well-informed about what to expect during and after cardiac catheterization. This can help reduce anxiety and improve cooperation during the procedure. Key points include:
- You may feel a hot flash when the dye is injected.
- Chest pain can occur when the balloon is inflated.
- After the procedure, a sand bag may be placed to prevent bleeding.
These details, among others, will prepare the patient both mentally and physically for the procedure.

cardiovascular procedures

Cardiac catheterization is a type of cardiovascular procedure performed to diagnose and sometimes treat heart conditions. A catheter is inserted into the heart through blood vessels, usually from the groin or arm. The procedure can:
- Assess the degree of blockage in coronary arteries.
- Measure pressure and oxygen levels in different parts of the heart.
- Check the functioning of heart valves.
This procedure is often followed by revascularization measures if blockages or other issues are found.

patient care during cardiac procedures

Patient care during cardiac procedures is essential for comfort and safety. Nurses and medical professionals should:
- Monitor vital signs continuously.
- Educate the patient about what sensations to expect, such as warmth or pressure.
- Provide psychological support to alleviate anxiety.
The goal is to ensure the patient remains as calm and comfortable as possible throughout the procedure.

patient experiences during cardiac catheterization

Understanding a patient’s experiences during cardiac catheterization can help in preparing and supporting them. Patients may:
- Feel nervous or anxious before and during the procedure.
- Experience sensations such as hot flashes when the dye is injected or chest pain when the balloon is inflated.
- Be aware of thorough communication from the medical team to ease their concerns.
Providing clear and honest information helps in managing these experiences better.

post-procedure care for cardiac catheterization

Post-procedure care is vital for recovery after cardiac catheterization. Key components include:
- Monitoring for bleeding or complications at the catheter insertion site, often by placing a sand bag.
- Encouraging rest and limited movement to aid in healing.
- Fluid management, although restrictions may typically apply to other procedures involving anesthesia.
Proper post-procedure care ensures a smooth recovery and minimizes the risk of complications.