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)

Assessing pulses is a critical step immediately after a cardiac catheterization procedure because it helps determine the adequacy of blood flow to the extremities and any potential vascular complications. Cardiac catheterization involves the insertion of a catheter through blood vessels, which can temporarily affect blood flow. Checking pulses in the affected limb (e.g., the leg or arm where the catheter was inserted) is essential to detect any signs of vascular compromises, such as decreased or absent pulses, which could indicate complications like arterial thrombosis or embolism. Prompt recognition of such issues is crucial for timely intervention to prevent potential complications or limb damage.

The other options are also important but should be addressed after the initial assessment of pulses:
A. Pain: Assessing pain is important, but it should come after checking pulses. If the child reports pain, it could indicate discomfort or complications related to the procedure, which may require further evaluation and intervention.
C. Catheterization report: Reviewing the catheterization report is necessary for a comprehensive understanding of the procedure and its findings, but it is not the immediate priority when assessing the child's post-procedure condition.
D. Hemoglobin and hematocrit levels: Checking hemoglobin and hematocrit levels is important to monitor for potential bleeding complications that may occur during or after the procedure, but it is a secondary assessment compared to evaluating pulses. If there are significant changes in these levels, they may require further investigation and intervention.

In summary, assessing pulses is the initial priority after a cardiac catheterization procedure in order to promptly identify any vascular issues or complications that need immediate attention.

The presence of leukocytes, nitrates, and blood in the urine, along with a urinary pH of 6.5, is suggestive of a urinary tract infection (UTI). Additionally, symptoms such as frequent urination, pain or discomfort during urination, or other urinary symptoms may also be present in UTIs.

The other options (A, B, and D) are less likely based on the provided information:

A. Nephrotic syndrome typically presents with significant proteinuria and edema but may not show the specific findings seen in a UTI urinalysis.

B. Acute glomerulonephritis may have different urinalysis findings, including hematuria and proteinuria, but the presence of nitrates and leukocytes in the urine is not a typical feature.

D. Diabetes mellitus Type 1 may have glucose in the urine, but the presence of nitrates, leukocytes, and blood in the urine is more indicative of a UTI than diabetes.