A nurse is caring for a school-age child following a femoral venous cardiac catheterization. Which of the following actions should the nurse take?

Perform a sterile dressing change 8 hr after the procedure.

Keep the affected extremity straight for 4 hr.

Assess the pulses above the catheterization site.

Maintain NPO status for 24 hr following the procedure.

Answer and Explanation

The Correct Answer is B

A. "Perform a sterile dressing change 8 hr after the procedure." The initial dressing should be left in place for at least 24 hours, and any dressing changes should be performed per facility protocol.

B. "Keep the affected extremity straight for 4 hr." After a femoral venous cardiac catheterization, the child should keep the affected extremity straight for about 4 to 6 hours to prevent bleeding or hematoma formation at the insertion site.

C. "Assess the pulses above the catheterization site." The pulses below the site (distal pulses) should be assessed, not above. This is important to check for adequate circulation and potential complications such as clot formation or arterial obstruction.

D. "Maintain NPO status for 24 hr following the procedure." The child should typically resume oral intake as soon as they are fully awake and able to tolerate fluids, usually within a few hours post-procedure.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. "Have the child bend forward at the waist and check for asymmetry of the scapula." This maneuver is known as the Adam's forward bend test and is used to screen for scoliosis, which commonly appears during adolescence.
B. "Auscultate the abdomen for at least 1 min if bowel sounds are absent." If bowel sounds are absent, the nurse should listen for at least 5 minutes in each quadrant before concluding they are truly absent.
C. "Use the FACES scale to assess pain." The FACES scale is typically used for younger children (3-7 years old). Adolescents can usually use a numeric rating scale (0-10) for pain assessment.
D. "Observe abdominal movement to determine the respiratory rate." Abdominal breathing is characteristic of infants and younger children. In adolescents, the nurse should observe chest movement to assess respiratory rate.

A. 1 cup raw broccoli B. One slice white bread C. One poached egg D. 2 tbsp peanut butter

Correct Answer is A

Explanation

A. 1 cup raw broccoli . Broccoli is a good non-dairy source of calcium, making it suitable for a child with lactose intolerance.
B. One slice white bread. While some breads are fortified with calcium, the amount is typically lower than in broccoli.
C. One poached egg. Eggs contain minimal calcium and are not a significant source.
D. 2 tbsp peanut butter. Peanut butter provides protein and healthy fats, but it is not a rich source of calcium.

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