Nursing interventions for the child after a cardiac catheterization when they first return to the unit include all of the answers below except:

Assess the affected extremity for temperature and color.

Manage hydration with IV fluids until able to tolerate oral fluids.

Check pulses above the catheterization site for equality and symmetry.

Monitor vital signs frequently.

Answer and Explanation

The Correct Answer is B

Choice A reason: This is a correct statement, as assessing the affected extremity for temperature and color can help detect any signs of vascular injury or thrombosis after the cardiac catheterization. The extremity should be warm and pink, indicating adequate blood flow. If the extremity is cold, pale, or cyanotic, it may indicate ischemia or occlusion¹.

Choice B reason: This is not a correct statement, as managing hydration with IV fluids until able to tolerate oral fluids is not a necessary intervention after the cardiac catheterization. The child may be able to resume oral fluids as soon as they are awake and alert, unless there are contraindications such as nausea or vomiting. IV fluids may be given to prevent dehydration or hypotension, but they should be monitored carefully to avoid fluid overload or pulmonary edema¹².

Choice C reason: This is a correct statement, as checking pulses above the catheterization site for equality and symmetry can help detect any signs of arterial injury or spasm after the cardiac catheterization. The pulses should be strong and equal on both sides, indicating normal blood flow. If the pulses are weak, absent, or unequal, it may indicate arterial occlusion or narrowing¹.

Choice D reason: This is a correct statement, as monitoring vital signs frequently can help detect any signs of bleeding, infection, or cardiac complications after the cardiac catheterization. The vital signs should be stable and within normal limits, indicating normal hemodynamic status. If the vital signs are abnormal, such as hypotension, tachycardia, fever, or dysrhythmia, it may indicate hemorrhage, sepsis, or cardiac tamponade¹².

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Correct Answer is D

Explanation

Choice A reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Getting an A in a math exam is an academic achievement, but it does not reflect the psychosocial development of the individual.

Choice B reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Going to a senior prom is a social event, but it does not indicate the identity or role of the individual.

Choice C reason: This statement does not best illustrate the developmental stage of an eighteen-year-old. Having conflicts with parents is a common issue among adolescents, but it does not show the maturity or independence of the individual.

Choice D reason: This statement best illustrates the developmental stage of an eighteen-year-old. Going to college to become a nurse is a decision that reflects the individual's identity, career, and future goals. It also shows the individual's ability to plan ahead, make choices, and take responsibility for their life.

A. Surgery will be necessary. B. Dietary restrictions will be required throughout childhood. C. Slow feeding will be necessary for a few months. D. Chromosomal mutation is the cause.

Correct Answer is A

Explanation

Choice A reason: Surgery is the definitive treatment for hypertrophic pyloric stenosis, which is a condition in which the muscle of the pylorus (the outlet of the stomach) becomes thickened and blocks the passage of food into the small intestine. The surgery, called pyloromyotomy, involves cutting the muscle to widen the opening and allow food to pass through. The surgery is usually done laparoscopically, with small incisions and a camera, and has a high success rate and low complication rate¹.

Choice B reason: Dietary restrictions are not required throughout childhood for infants with hypertrophic pyloric stenosis. After the surgery, the infant can resume normal feeding, usually within a few hours or days. The infant may have some vomiting or spitting up for a short period, but this usually resolves without any special diet.

Choice C reason: Slow feeding is not a necessary intervention for infants with hypertrophic pyloric stenosis. Slow feeding may help reduce the amount of vomiting, but it does not address the underlying problem of the pyloric obstruction. Slow feeding may also cause the infant to become frustrated, hungry, or tired. The infant should be fed according to his or her appetite and cues, and burped frequently to prevent air swallowing.

Choice D reason: Chromosomal mutation is not the cause of hypertrophic pyloric stenosis. The exact cause of this condition is unknown, but it is likely influenced by both genetic and environmental factors. Some studies have found an association between hypertrophic pyloric stenosis and certain genes, but no single gene mutation has been identified as the cause. Other risk factors include being male, firstborn, premature, exposed to certain antibiotics, or having a family history of the condition².

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Nursing interventions for the child after a cardiac catheterization when they first return to the unit include all of the answers below except:

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Naxlex Comprehensive Predictor Exams

Which of the following statements by an eighteen-year-old best illustrates their developmental stage?

Correct Answer is D

Explanation

The mother of an infant with hypertrophic pyloric stenosis asks the nurse many questions about the problem. When answering these questions, the nurse should convey the idea that:

Correct Answer is A

Explanation

An infant is brought to the emergency department with poor skin turgor, weight loss, irritability, and tachycardia. The nurse analyzes the data to suggest:

Which clinical manifestation would most suggest acute appendicitis?

A child weighing 20 kg with rule out sepsis is admitted to the hospital. Cefotaxime 700 mg IV q6 hrs is ordered. Safe dose is 50-200 mg/kg/day. Is this a safe dose? True means it is safe; false means it is not safe.

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A boy aged 4 1/2 years has been having increasingly frequent angry outbursts in preschool. He is aggressive toward the other children and the teachers. This behavior has been a problem for approximately 8-10 weeks. His parents ask the nurse for advice. What is the most appropriate intervention?

Which one of the following statements by a parent would reflect the presenting history for gastroesophageal reflux in a 12-month-old?