Question

A client is scheduled for a cardiac catheterization. Following the procedure, the nurse should: A. Assess for allergy to iodine B. Check pulses proximal to the site C. Assess the urinary output D. Check to ensure that the client has a consent form signed

Short answer

Answer: A nurse's primary responsibility immediately following a cardiac catheterization procedure is to check pulses proximal to the site to ensure adequate blood flow and detect complications like bleeding, hematoma, or vascular injury.

Step-by-step solution

Understand Cardiac Catheterization

Cardiac catheterization is an invasive diagnostic procedure that allows doctors to evaluate the heart's function and structure by inserting a thin, hollow tube (catheter) through an artery or vein in the groin, arm, or neck and into the heart. During the procedure, iodine-based contrast dye is often used for various imaging tests.

Assess Each Option

A. Assess for allergy to iodine: This is important as iodine-based contrast dye is used during the procedure. However, checking for an allergy should be done before the procedure, not after. B. Check pulses proximal to the site: After cardiac catheterization, it is vital to monitor the pulses proximal to the site to ensure adequate blood flow and detect complications like bleeding, hematoma, or vascular injury. C. Assess the urinary output: Monitoring urinary output is helpful in evaluating kidney function, which might be affected by the contrast dye used. While this is an important aspect, it may not be the most crucial task immediately following the procedure. D. Check to ensure that the client has a consent form signed: Obtaining informed consent is crucial before any procedure, not after it has been performed.

Choose the Correct Option

Based on the analysis, it is clear that option B is the most appropriate choice. Checking pulses proximal to the site is crucial for monitoring the patient's condition and detecting possible complications immediately following a cardiac catheterization procedure.