Reduction of Risk Potential Flashcards
7 cards from real NCLEX practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Reduction of Risk Potential flashcards as text
A client is scheduled for an arteriogram. Which assessment is most important after the procedure to reduce complications?
Answer: Checking distal pulses at the insertion site
Monitoring distal pulses detects arterial occlusion or hematoma at the catheter insertion site early.
Which client is at greatest risk for falls and needs priority safety measures?
Answer: An older adult on a sedative with orthostatic hypotension
Sedation combined with orthostatic hypotension greatly increases fall risk in an older adult.
Before a thoracentesis, which position should the nurse help the client assume?
Answer: Sitting upright leaning over a bedside table
Sitting upright and leaning forward widens the intercostal spaces and keeps fluid at the lung base for safer aspiration.
A client's calcium level is 7.0 mg/dL. Which assessment finding should the nurse monitor for?
Answer: Positive Trousseau's sign
Hypocalcemia causes neuromuscular irritability, demonstrated by a positive Trousseau's sign.
Which action reduces the risk of aspiration in a client receiving continuous tube feedings?
Answer: Keeping the head of bed elevated 30 to 45 degrees
Elevating the head of the bed uses gravity to reduce reflux and aspiration of feeding contents.
A client taking furosemide reports muscle weakness and leg cramps. Which lab value should the nurse check?
Answer: Serum potassium
Furosemide is a potassium-wasting loop diuretic, and these symptoms suggest hypokalemia.
After cardiac catheterization via the femoral artery, the client must do which to reduce bleeding risk?
Answer: Keep the affected leg straight and still
Keeping the leg straight and immobile prevents disruption of the arterial puncture site and bleeding.