A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)
Putting pressure above the catheter site for first signs of bleeding
regularly check the pulses and temperature of the affected extremity
Encourage play and activity rated
Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent boo
Monitor cardiac function and oxygen saturation
Correct Answer : C
After a cardiac catheterization procedure, it is essential to restrict activity and keep the affected extremity immobilized to prevent complications such as bleeding and hematoma formation at the catheter insertion site. Encouraging play and activity can increase the risk of disrupting the catheter site or causing bleeding.
The other interventions are generally appropriate after a cardiac catheterization procedure:
A. Putting pressure above the catheter site for first signs of bleeding: This is a standard procedure to monitor for any bleeding at the catheter site and is an appropriate intervention.
B. Regularly check the pulses and temperature of the affected extremity: Monitoring pulses and temperature is important to assess for adequate circulation and early detection of any vascular complications.
D. Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent blood clots: Early mobilization can help prevent blood clots, and it is generally a recommended intervention following cardiac catheterization.
E. Monitor cardiac function and oxygen saturation: Continuous monitoring of cardiac function and oxygen saturation is crucial to detect any immediate post-procedure complications and ensure the child's cardiovascular stability.
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Related Questions
Correct Answer is ["Kawasaki disease"," evidenced by the patient's diagnosis of fever for 6 days"," strawberry tongue"," cervical lymphadenopathy"," and irritability."]
Explanation
Kawasaki disease, evidenced by the patient's diagnosis of fever for 6 days, strawberry tongue, cervical lymphadenopathy, and irritability.
Correct Answer is ["A","B","E"]
Explanation
The congenital heart diseases that often require multiple surgeries to correct are:
A.Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.
B.Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.
E.While some cases can be corrected with a single surgery or catheter-based intervention, re-narrowing (re-coarctation) is common, especially in infants. This may necessitate repeat surgeries or balloon angioplasty later in life.
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