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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Pain: A vaso-occlusive crisis in sickle cell disease occurs when sickled red blood cells block blood flow in small vessels, leading to severe pain, often in the bones, joints, and abdomen. Pain is the hallmark symptom of a vaso-occlusive crisis.
B. Bradycardia: Bradycardia is not typically associated with a vaso-occlusive crisis in sickle cell disease. The child may have an increased heart rate (tachycardia) due to pain, dehydration, or hypoxia.
C. Vomiting: Vomiting is not a direct result of a vaso-occlusive crisis but can occur due to complications such as dehydration or infection.
D. Constipation: Constipation is not a common symptom of a vaso-occlusive crisis. It may occur as a side effect of medications like opioids, which are often used to manage pain in sickle cell patients.
Correct Answer is C
Explanation
A. Hoarseness: Hoarseness is a common symptom of croup and is usually not an immediate concern unless accompanied by other severe symptoms.
B. Barky cough: A barky cough is characteristic of croup and is not an indication of immediate concern unless it worsens.
C. Drooling: Drooling can be a sign of respiratory distress and difficulty swallowing, which can indicate a worsening condition such as epiglottitis, a more serious infection that can occur with croup. Drooling is a red flag and requires immediate medical attention.
D. Paroxysmal attacks of laryngeal spasm at night: Paroxysmal attacks (episodes of severe coughing or difficulty breathing) are typical of croup, especially at night, but are usually self-limited and not an immediate cause for concern unless severe.
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