A nurse is caring for a 2-year old who has a heart defect and is scheduled for a cardiac catheterization. Which of the following actions should the nurse take?
Check for iodine or shellfish allergies prior to the procedure
Place an NPO status for 12 hours prior to the procedure
Elevate the affected extremity following the procedure.
Limit fluid intake following the procedure.
The Correct Answer is A
A. Check for iodine or shellfish allergies prior to the procedure: Cardiac catheterization often involves the use of a contrast dye that contains iodine. If the child has an allergy to iodine or shellfish, there is an increased risk of an allergic reaction to the dye.
B. Place an NPO status for 12 hours prior to the procedure: NPO status typically is required for a few hours before a procedure involving anesthesia or sedation, but not necessarily for 12 hours. The specific time frame should be determined by the healthcare provider.
C. Elevate the affected extremity following the procedure: After cardiac catheterization, the affected extremity should typically be kept straight and immobilized to prevent bleeding or hematoma formation. Elevating the extremity may not be advisable.
D. Limit fluid intake following the procedure: After cardiac catheterization, the child should be encouraged to drink fluids to help flush the contrast dye from their system, unless contraindicated by other factors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["C","D","G"]
Explanation
- A. Provide oxygen at 6 L/min via nasal cannula: Oxygen is only used if the patient has hypoxemia (O2 saturation below 92%), which is not indicated in this scenario.
B. Perform passive ROM exercises: Not appropriate during a sickle cell crisis due to the risk of exacerbating pain.
C. Administer IV fluids: Essential to reduce blood viscosity and prevent further sickling.
D. Obtain consent for a blood transfusion: Necessary in severe anemia (e.g., hemoglobin of 5 g/dL).
E. Restrict fluid intake to 1,400 mL/day: Fluid restriction is contraindicated; hydration is key to management.
F. Administer meperidine IV: Meperidine is generally avoided due to the risk of neurotoxicity; other opioids (e.g., morphine) are preferred.
G. Encourage bedrest: Reduces oxygen demand during a crisis.
Correct Answer is A
Explanation
A. Provide humidified oxygen: This helps ease breathing and reduce airway irritation.
B. Allow the child to have a popsicle: Oral intake is contraindicated to prevent aspiration.
C. Obtain a throat culture: Invasive procedures like this can provoke airway spasm and are contraindicated.
D. Visualize the epiglottis using a tongue depressor: Direct visualization is avoided due to the risk of airway spasm and obstruction.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.