Exhibits

Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization.

What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

Measure the child's height and weight

Document lying, sitting, and standing blood pressures

Locate and mark the pedal pulses

Perform a mini mental exam on the child

Obtain a history of allergic reactions

Determine when the child last ate

Answer and Explanation

Correct Answer : A,B,C,E,F

A. Measuring the child's height and weight is essential to ensure appropriate dosing of medications and to assess the child's growth and development.
B. Documenting lying, sitting, and standing blood pressures can help detect orthostatic hypotension, which may be a concern during or after the procedure.
C. Locating and marking the pedal pulses is important for assessing the vascular status of the lower extremities, especially since the catheterization involves accessing a blood vessel.
D. Performing a mini mental exam on the child is not typically part of the pre-cardiac catheterization assessment for a 3-year-old.
E. Obtaining a history of allergic reactions is crucial to prevent any potential allergic response to medications or materials used during the catheterization.
F. Determining when the child last ate is necessary because the child will need to fast for a certain period before the procedure to reduce the risk of aspiration.

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Correct Answer is C

Explanation

A. The client's healthcare power of attorney is important information but may not be immediately relevant to the client's current clinical status and need for medical intervention.
B. Currently prescribed medications are important to know but should not take precedence over the client's acute change in mental status, which requires immediate attention.
C. Increasing confusion of the client is the most critical information to report first as it indicates a change in the client's condition and may require urgent evaluation and intervention by the
healthcare provider.
D. The fall at home as the reason for admission is important background information but should be provided after the current assessment of the client's condition, which includes the increasing confusion.

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B","dropdown-group-3":"A"}

Explanation

The initial blood gas results show a pH of 7.21, which is below the normal range, indicating acidosis.
The PaCO2 is elevated at 58 mmHg, suggesting that the acidosis is respiratory in nature, as CO2 is a respiratory acid.
The HCO3 level is within the normal range, which typically would not suggest a primary metabolic problem.
The repeat blood gas shows an improvement in pH to 7.37, which is within the normal range, indicating that the condition is being compensated.
The PaCO2 has decreased to 52 mmHg, which is still above normal but shows improvement, further supporting the compensation.
Given these changes, the most likely interpretation of the blood gas results is that the client has "compensated respiratory acidosis."

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Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Exhibits The nurse Interprets the repeat blood gas. Choose the most likely options for the information missing from the statement(s) by selecting from the lists of options provided. The blood gas results indicate that the client has dropdown, dropdown and dropdown

Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B","dropdown-group-3":"A"}

Explanation

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Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

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Exhibits

Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization.

What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.