Practice Quiz

CMSRN Medical-Surgical Nursing

Category - Neuro/Muscular

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A client diagnosed with cerebral thrombosis is scheduled for cerebral angiography. Nursing care of the client includes the following except:
  1. Inform the client that a warm, flushed feeling and a salty taste may be felt
  2. Maintain pressure dressing over the site of puncture and check for bleeding
  3. Check pulse, color, and temperature of the extremity distal to the site of puncture site
  4. Keep the extremity used as puncture site flexed to prevent bleeding
Explanation
Answer - D - Keep the extremity used as puncture site flexed to prevent bleeding.
Angiography involves the threading of a catheter through an artery, which can cause trauma to the endothelial lining of the blood vessel. The platelets are attracted to the area causing thrombi formation. This is further enhanced by the slowing of blood flow caused by flexion of the affected extremity. The affected extremity must be kept straight and immobilized during the duration of the bed rest after the procedure. Ice bag can be applied intermittently to the puncture site.
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