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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as treatment for atopic dermatitis includes keeping the skin moist, not dry. Dry skin can worsen the itching and inflammation of eczema. Moisturizers, emollients, and topical steroids can help hydrate and protect the skin¹.
Choice B reason: This is not a correct statement, as there is no cure for atopic dermatitis. It is a chronic condition that can flare up and subside over time. Treatment can help control the symptoms and prevent complications, but it cannot eliminate the disease¹.
Choice C reason: This is not a correct statement, as atopic dermatitis is not directly associated with upper respiratory tract infections. However, some infants with atopic dermatitis may also have asthma or allergic rhinitis, which can increase the risk of respiratory infections².
Choice D reason: This is the correct statement, as atopic dermatitis is associated with allergy with a hereditary tendency. It is a type of hypersensitivity reaction that involves the immune system and the skin barrier. It is more common in infants who have a family history of eczema, asthma, or hay fever¹².
Correct Answer is B
Explanation
Choice A reason: She has green, loose stools with cow's milk is not a typical sign of gastroesophageal reflux in a 12-month-old. Green, loose stools may indicate an infection, an allergy, or a malabsorption problem. Cow's milk may cause an allergic reaction or intolerance in some infants, but it does not cause reflux. Reflux is when stomach contents flow back up into the esophagus, causing vomiting, regurgitation, or heartburn.
Choice B reason: She coughs and spits up while eating foods is a common symptom of gastroesophageal reflux in a 12-month-old. Coughing and spitting up may occur because the food or liquid irritates the throat or the airway, or because the infant swallows air while feeding. Reflux may be more frequent or severe when the infant eats solid foods, as they may be harder to digest or may trigger the lower esophageal sphincter to relax. Reflux may also be worse when the infant lies down, as gravity does not help to keep the food in the stomach.
Choice C reason: She has projectile vomiting after feeding is not a usual sign of gastroesophageal reflux in a 12-month-old. Projectile vomiting is when the vomit is ejected forcefully and travels a distance. It may indicate a serious condition such as pyloric stenosis, which is a narrowing of the outlet of the stomach that prevents food from passing into the small intestine. Projectile vomiting may also be caused by a bowel obstruction, a brain tumor, or a metabolic disorder.
Choice D reason: Her stools are hard and black in color is not a normal sign of gastroesophageal reflux in a 12-month-old. Hard and black stools may indicate constipation, bleeding in the upper gastrointestinal tract, or ingestion of iron supplements or certain foods. Reflux does not affect the color or consistency of the stools, unless there is an underlying condition such as an infection, an allergy, or a malabsorption problem.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today