Lvn Study Guide

Topics: Blood, Pulse, Blood pressure Pages: 126 (45777 words) Published: May 14, 2013
1. Cardiac Catheterization (dye): 1333
Cardiac Catheterization: A cardiac catheterization is performed to obtain information about congenital or acquired heart defects, measure oxygen concentration, determine cardiac output, or assess the status of the heart’s structures and chambers. It may be performed during an angio cardiogram to study the function of the heart or blood supply or to diagnose congenital anomalies or valvular disease. Therapeutic treatments may be done during the catheterization to repair the heart, open valves, or dilate arteries. In this procedure, a long, flexible catheter is passed into the heart through a large blood vessel, usually the femoral or brachial artery. However, with the miniaturization of medical devices, an alternative approach is to use the radial artery (trans radial catheterization). The pressure is measured as the catheter passes through each location, and blood specimens are taken in each area. A dye may also be injected. A team of physicians, nurses, and technicians per-form this procedure, which takes from 1 to 3 hours. Nursing Considerations. Clients may be apprehensive about the procedure. Explain that it is not painful, although it may be slightly uncomfortable. A local anesthetic is given during the procedure. Warn the client that during the procedure, he or she may feel a sensation of warmth and a “fluttering” in the heart, as the catheter passes through the blood vessels. A signed informed consent is required, and the client is NPO for at least 6 hours before the procedure. Exceptions to the NPO order are specific medications ordered by the physician. Cardiac catheterization usually has no complications, but it is not entirely without danger. Assess the insertion site for bleeding or hematoma. Check the client’s peripheral pulses every 15 minutes for an hour after the test and then frequently thereafter for up to 8 hours, depending on the insertion site used. Nursing Alert: Immediately report a client’s rapid or irregular pulse after cardiac catheterization. It may indicate heart or valve damage, clot formation, or hemorrhage. Also immediately report any complaint of chest or insertion-site pain. 2. Cause of revoke and suspension of license:1722

License Revocation. Every licensed nurse is responsible for practicing within the rules and regulations of the nurse practice act of the state, province, or territory in which the nurse works. In most U.S. states and territories and in Canada, the Board of Nursing or other licensing authority has the right to revoke or suspend a nurse’s license for just cause. Following are examples of just causes: • Conviction of a felony

• Conviction of other crimes, such as child or elder abuse • Chemical dependency, compulsive gambling, or other addictive behavior (until it is controlled), including excessive arrests for driving while intoxicated or driving under the influence (DWI/DUI) • Stealing medications

• Stealing from a client
• Sexual harassment of a coworker
• Mental incompetence/uncontrolled mental illness
• Fraudulent acquisition of a nursing license
• Violation of the state nurse practice act (e.g., practicing medicine or prescribing medications without a license) • Suspended or revoked license in another state
• Willful neglect or abuse of a client
• Sexual activity with, or sexual harassment of, a vulnerable client (nearly all clients are considered to be vulnerable) • Inappropriate contact with a client after discharge from the hospital, particularly those deemed to be vulnerable(e.g., children and psychiatric clients) • Proved negligence in nursing practice

The state board must notify the nurse before it takes action to suspend or revoke a license. Usually this is published and the nurse has an opportunity to present his or her case at a formal hearing. Actions that may be taken include the following: denial of license renewal, denial of first license, letter of reprimand, suspension or...
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