A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

A. Furosemide is a diuretic that helps to reduce fluid volume, which would lead to a decrease in venous pressure, not an increase.
B. Furosemide is primarily used to reduce fluid retention (edema). A decrease in peripheral edema indicates that the medication is working effectively.
C. Furosemide can actually cause hypokalemia (low potassium levels) as a side effect.
D. Furosemide is used to improve cardiac output by reducing the fluid overload that puts a strain on the heart.

A. A quick-release knot allows for the restraints to be removed swiftly in case of an emergency. This is important to ensure that the child can be freed quickly if needed, such as if there is a sudden change in the child’s condition or an emergency arises.
B. This is not adequate for ensuring the child’s safety. Regular assessments are critical for monitoring the child's physical condition, circulation, and overall comfort while in restraints. Typically, the child should be assessed at least every 15-30 minutes, depending on the facility’s policy and the child’s condition, to prevent complications such as skin breakdown, impaired circulation, or increased distress.
C. The renewal of a restraint order typically must occur more frequently than every 48 hours. According to most regulations and facility policies, restraint orders are usually valid for a shorter period, often 24 hours, and must be renewed daily by a provider.
D. This is not appropriate and can be dangerous. Restraints should never be tied to bed rails because this can cause serious injury if the child moves or if there is any sudden movement of the bed. Instead, restraints should be secured to a part of the bed frame that moves with the bed and does not pose a risk of injury. Proper restraint attachment helps avoid entrapment and injury.