Practice Question
The nurse is aware that the medical record of a patient going for a cardiac catheterization should have: (Select all that apply.)
Answer Choices:
Correct Answer:
evidence of patient education done before the consent form is signed
Rationale:
Evidence of patient education before the consent form is signed
🫀Educating the patient about procedure purpose, risks, benefits, and alternatives ensures informed consent is truly informed.
🫀Documentation of education shows that the patient had the opportunity to ask questions and demonstrated understanding.
🫀This record supports legal/ethical standards and shared decision-making.
🫀It also establishes baseline expectations (e.g., recovery, activity limits), aiding post-procedure adherence.
🫀Thorough documentation promotes continuity across the care team.
Administration of ordered preoperative medications
🫀Records should show timing/doses of pre-op meds (e.g., anxiolytics, antiplatelet management, IV fluids) to align with safety protocols.
🫀Proper timing ensures hemodynamic stability and sedation readiness without drug interactions.
🫀Documentation enables providers to reconcile medications and monitor responses.
🫀It reduces medication errors and supports peri-procedural guidelines.
🫀 Accurate records are vital for quality assurance and legal protection.
A signed consent form
🫀Signed consent is a legal requirement before cardiac catheterization, reflecting patient autonomy.
🫀It confirms voluntary agreement after adequate disclosure by the provider.
🫀Nursing verification includes identity, competence, and absence of coercion.
🫀Consent must be obtained before sedation or pre-procedure transfer.
🫀Proper filing ensures quick team access and regulatory compliance.
A complete history and physical examination
🫀A current H&P identifies comorbidities (e.g., CKD, diabetes), allergies, and cardiopulmonary risk, informing sedation and contrast plans.
🫀It provides baseline vitals, cardiac status, and vascular access assessment, guiding procedure strategy.
🫀The H&P supports risk stratification and informed consent discussions.
🫀Up-to-date data help anticipate complications and plan post-procedure monitoring.
🫀Comprehensive assessment underpins safe, personalized care.
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This question is from NSG 1221 Summer 2025 Exam 3 which contains 77 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: 💎Examplify-PN
- Domain: 🔔 Fundamentals of Nursing-PN
- Answer Choices: 5