A nurse is assisting with the care of a toddler who has a septal defect and is scheduled for a cardiac catheterization. Which of the following actions should the nurse take?
Determine if the toddler has an allergy to iodine prior to the procedure.
Check the toddler's vital signs once each hour following the procedure.
Give the toddler clear liquids prior to the procedure.
Administer meperidine for pain immediately following the procedure.
The Correct Answer is A
A. Determine if the toddler has an allergy to iodine prior to the procedure: Cardiac catheterization typically involves the use of iodine-based contrast dye. It is crucial to determine if the toddler has an allergy to prevent any adverse reactions, during the procedure.
B. Check the toddler's vital signs once each hour following the procedure: After a cardiac catheterization, vital signs should be monitored more frequently than once per hour. Typically every 15-30 minutes during the first few hours following the procedure to detect any complications.
C. Give the toddler clear liquids prior to the procedure: Clear liquids are restricted before a procedure like cardiac catheterization, especially if sedation or anesthesia is involved. The child may be required to fast for several hours before the procedure to reduce the risk of aspiration.
D. Administer meperidine for pain immediately following the procedure: Meperidine is not recommended for pain management in children due to its potential for side effects, including seizures. Safer alternatives, like acetaminophen or morphine, are preferred
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Related Questions
Correct Answer is C
Explanation
A. Show the child's parent how to release tension on the bars: The tension on the halo vest is adjusted by the healthcare provider, not by the parent. The nurse should not instruct the parent to release tension, as improper adjustments can lead to complications.
B. Remove the vest for the child to sleep at night: The halo vest should remain in place at all times, including during sleep, to maintain proper cervical traction and stabilization. Removing it may interfere with the healing process and cause further injury.
C. Check the child's pupillary response: Monitoring the pupillary response is important in a child with cervical traction to assess for any neurological changes. It helps identify signs of increased intracranial pressure or other neurological complications.
D. Apply a cervical collar if the child reports neck pain: The halo vest itself is designed to stabilize the neck, and the application of a cervical collar without provider guidance could interfere with the proper use of the traction system.
Correct Answer is A
Explanation
A. Administer the vaccine in the vastus lateralis muscle using a 25-mm (1-in) needle: For infants, the vastus lateralis muscle in the thigh is the preferred site for intramuscular (IM) vaccinations, including the Hib vaccine. A 25-mm (1-in) needle is an appropriate length for this muscle in a 6-month-old infant.
B. Administer the vaccine subcutaneously in the abdomen using a 16-mm (5/8-in) needle: The Hib vaccine is not administered subcutaneously. It is an intramuscular injection, and the abdomen is not the recommended site for this vaccine.
C. Administer the vaccine subcutaneously in the upper arm using a 13-mm (1/2-in) needle: The Hib vaccine is administered intramuscularly, not subcutaneously. The upper arm is used for intramuscular injections in older children. A 13-mm needle is too short for an intramuscular injection in the vastus lateralis.
D. Administer the vaccine in the dorsogluteal muscle using a 51-mm (2-in) needle: The dorsogluteal muscle is not recommended for infants due to the risk of damaging the sciatic nerve. A 2-inch needle is too long for this area in an infant.
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