Page 2010 - Saunders Comprehensive Review For NCLEX-RN

2. Preprocedure interventions

a. Assess the client for allergies to

iodine and shellfish. Assess renal
function.
b. Assess for a medication history of
anticoagulation therapy; withhold the
anticoagulant medication prior to the
procedure as prescribed.
c. Encourage hydration for 2 days before
the test.
d. Maintain the client on NPO (nothing by
mouth) status 4 to 6 hours before the
test as prescribed.
e. Perform a neurological assessment,
which will serve as a baseline for
postprocedure assessments.
f. Mark the peripheral pulses.
g. Remove metal items from the hair.
h. Administer premedication as
prescribed.
3. Postprocedure interventions
a. Monitor neurological status, vital signs,
and neurovascular status of the
affected extremity frequently until
stable.

b. Monitor for swelling in the neck

and for difficulty swallowing; notify a
primary health care provider (PHCP) if
these symptoms occur.
c. Maintain bed rest for 12 hours as
prescribed.

d. Elevate the head of the bed 15 to

30 degrees only if prescribed.

e. Keep the bed flat, as prescribed,

if the femoral artery is used.
f. Assess peripheral pulses.
g. Apply sandbags or another device to
immobilize the limb and a pressure
dressing to the injection site to
decrease bleeding as prescribed.
h. Place ice on the puncture site as
prescribed.
i. Encourage fluid intake.

2010