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The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans toA. encourage the client to ambulate within one hour following this procedure.B. discontinue prescribed intravenous fluids immediately after the procedureC. assess kidney function via lab testing on the day following the procedure.D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.

Question

The nurse is caring for a client following a femoral angiography. When developing this client's plan of care, the nurse plans toA. encourage the client to ambulate within one hour following this procedure.B. discontinue prescribed intravenous fluids immediately after the procedureC. assess kidney function via lab testing on the day following the procedure.D. maintain nothing by mouth (NPO) status for 4 hours following the procedure.

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Solution

The nurse should plan to assess kidney function via lab testing on the day following the procedure. This is because the contrast dye used in a femoral angiography can potentially cause kidney damage, especially in patients with pre-existing kidney disease. Therefore, it is important to monitor the client's kidney function after the procedure to ensure there are no complications.

Encouraging the client to ambulate within one hour following the procedure is not advisable because the client needs to rest and avoid strenuous activities to prevent bleeding from the puncture site.

Discontinuing prescribed intravenous fluids immediately after the procedure is not recommended because the fluids help to flush the contrast dye out of the system and prevent dehydration.

Maintaining nothing by mouth (NPO) status for 4 hours following the procedure is not necessary unless there are specific reasons such as the client's medical condition or the type of anesthesia used during the procedure.

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