Homework Lance
A nurse is caring for a patient after a coronary angiogram. Which of these actions taken by the nursing assistant would most require the nurse’s immediate intervention?
1. The nursing assistant fills the patient’s pitcher with ice cold drinking water
2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
3. The nursing assistant refills the ice pack laying on the insertion site
4. The nursing assistant places an extra pillow under the patient’s head on request
1. The nursing assistant fills the patient’s pitcher with ice cold drinking water
Incorrect – It is recommended to generously hydrate after a coronary angiogram to excrete contrast medium, reducing kidney toxicity
Correct Answer: 2. The nursing assistant elevates the head of the bed to 60 degrees for a meal
Correct – For 3-6 hours after a coronary angiogram (depending on the insertion site), the patient should have their bed no higher than 30 degrees and be on bedrest.
3. The nursing assistant refills the ice pack laying on the insertion site
Incorrect – An ice pack or dressing is recommended to be placed on the insertion site to minimize risk of bleeding.
4. The nursing assistant places an extra pillow under the patient’s head on request
Incorrect – An extra pillow will not violate any post-procedural protocols for coronary angiogram.
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