CNOR Operating Room Nursing

Category - Intraoperative

During a heart catheterization procedure, the patient exclaims, “I feel like my heart is pounding!” What is the most appropriate response from the nurse?
  1. “Take a deep breath and hold it for five seconds. I’ll count for you.”
  2. “You are probably experiencing anxiety. Tell me more about how you are feeling.”
  3. “Take a breath and cough. This might make that feeling go away.”
  4. “I don’t usually have patients who get that feeling. How long has it been going on?”
Explanation
Answer: C-The most appropriate response in this situation is for the nurse to say, “Take a deep breath and cough. This might make that feeling go away.” The patient may experience palpitations when the catheter touches part of the heart. Coughing can help to interrupt an arrhythmia that may be occurring.
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