NCLEX-RN (Registered Nurse) Practice Exam · Question
A client is scheduled for a cardiac catheterization. Which statement by the client indicates a need for further nursing assessment and intervention prior to the procedure?
Metformin can interact with contrast dye used during a cardiac catheterization, potentially leading to acute kidney injury (lactic acidosis). The nurse must not
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Question: A client is scheduled for a cardiac catheterization. Which statement by the client indicates a need for further nursing assessment and intervention prior to the procedure?
Answer options:
- "I haven't eaten or drunk anything since midnight."
- "My last bowel movement was yesterday morning."
- "I'm a bit nervous about the procedure." ✅ "I take metformin every morning for my diabetes."
Correct answer: "I take metformin every morning for my diabetes."
Explanation: Metformin can interact with contrast dye used during a cardiac catheterization, potentially leading to acute kidney injury (lactic acidosis). The nurse must notify the healthcare provider so that the metformin can be withheld before and after the procedure as per protocol.
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