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AACN ACCRN (ACCRN) Practice Tests & Test Prep by Exam Edge


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Understanding what is on the AACN ACCRN exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studying the correct information.

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AACN Adult Acute/Critical Care Nursing Certification Sample Test

1 of 5

Patient discharge instructions for both inpatient and outpatient catherization might include reporting what?





Correct Answer:
change in color of the arm or leg used.
when a patient undergoes catheterization, whether as an inpatient or outpatient, they are typically given specific discharge instructions to ensure their recovery proceeds safely. catheterization, which involves the insertion of a catheter into a chamber or vessel of the body, can be performed for diagnostic purposes or for treatment interventions such as clearing blocked arteries. the procedure, though minimally invasive, involves entering the vascular system, and thus, it carries some risks post-procedure that require vigilant monitoring.

one primary concern following catheterization is the potential for vascular complications, which can manifest in various symptoms that the patient needs to be aware of and report immediately if they occur. a critical instruction for patients is to observe and report any change in the color of the arm or leg that was used for the catheter insertion. this symptom could indicate several possible complications: 1. **blood flow restriction**: a change in color might signify that the blood flow has been compromised, possibly due to a clot or narrowing at the site of the catheter insertion. this could lead to ischemia, where parts of the limb receive inadequate blood supply, which can cause tissue damage if not addressed promptly. 2. **infection**: if the limb turns red, feels warm, or shows other signs of infection such as swelling and tenderness, this could indicate an infection at the insertion site. infections can lead to serious complications if they spread or are not treated effectively. 3. **hematoma or bleeding**: discoloration might also occur due to a hematoma (a collection of blood outside of blood vessels) or bleeding under the skin. this could be due to the catheter damaging a blood vessel during the procedure.

thus, the change in color of the limb used for catheterization is a significant indicator that something may be wrong. this change, along with other symptoms like new bleeding or swelling at the site, increased tenderness, redness, drainage, or fever, are crucial markers of potential complications that need immediate medical attention.

by instructing patients to monitor for and report such symptoms, healthcare providers aim to catch and mitigate any adverse effects early, preventing more severe health issues. therefore, understanding and adhering to discharge instructions is vital for patients after undergoing catheterization. this ensures not only their safety but also the effectiveness of the procedure in treating their initial health concern.


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