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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Related Questions
Correct Answer is D
Explanation
A. "If your baby vomits a dose, you should repeat the dose to ensure that the correct amount is received.": If the baby vomits the dose, the caregiver should not repeat the dose unless instructed by the healthcare provider.
B. "Do not offer your baby fluids after giving the medication.": Digoxin can be given with fluids, and withholding fluids is not necessary unless specified by a healthcare provider.
C. "Digoxin increases your baby's heart rate.": Digoxin slows the heart rate, which helps in treating conditions like heart failure or arrhythmias.
D. "Give the correct dose of medication at regularly scheduled times.": Regularity in administration is crucial to maintaining therapeutic drug levels and preventing toxicity.
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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