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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Implementing droplet precautions: Pertussis (whooping cough) is highly contagious and spreads through respiratory droplets. Implementing droplet precautions is essential to prevent the transmission of the infection to others, especially in a school-age child.
B. Obtaining a nasopharyngeal culture: While obtaining a culture is important for confirming the diagnosis of pertussis, the priority is to prevent the spread of the disease to others. Droplet precautions should be implemented immediately to reduce transmission.
C. Encouraging family members' compliance with antibiotic therapy: Antibiotic therapy is important for treating pertussis, but this is secondary to preventing the spread of infection. Once precautions are in place, encouraging adherence to the prescribed antibiotic regimen is necessary for the child's recovery.
D. Offering small amounts of oral fluids frequently: Maintaining hydration is important for a child with pertussis, especially as coughing can cause discomfort. However, the priority action is preventing the spread of the infection through droplet precautions.

A. “I can leave my child alone in the bathtub for up to 15 minutes after they learn to swim." B. "Open windows are safe as long as the screens fit snugly." C. "The water heater should be set to 120 degrees Fahrenheit or less." D. “I will tell my toddler to never touch a firearm."

Correct Answer is C

Explanation

A. “I can leave my child alone in the bathtub for up to 15 minutes after they learn to swim." Leaving a toddler alone in the bathtub is not safe, even if they know how to swim. Drowning occurs very quickly, and toddlers should always be supervised when in or near water.
B. "Open windows are safe as long as the screens fit snugly." Even if the screens fit snugly, open windows still pose a risk of falls for toddlers. It is important to keep windows securely closed or use window guards to prevent accidents.
C. "The water heater should be set to 120 degrees Fahrenheit or less." Setting the water heater to 120°F or lower is an appropriate and safe recommendation to prevent burns. Water temperatures higher than 120°F can cause serious burns, especially in young children.
D. “I will tell my toddler to never touch a firearm." Simply telling a toddler to avoid firearms may not be enough. Firearms should be securely stored in a locked, childproof safe, away from the child's reach, regardless of what the child is told.

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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?

Nursing Test Bank

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