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The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is "wet." On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?

A.

Apply direct pressure at the site and one inch above the catheterization site

B.

Notify the interventional cardiologist and the catheterization lab

C.

Place the bed in the Trendelenburg position

D.

Reinforce the bandage by applying a new bandage, over the present dressing

Answer and Explanation

The Correct Answer is A

A. Applying direct pressure at the site and one inch above the catheterization site is the immediate priority to control the bleeding and prevent further blood loss.
B. Notifying the interventional cardiologist and the catheterization lab is important but should be done after initial bleeding control measures are taken.
C. Placing the bed in the Trendelenburg position is not appropriate for managing active bleeding from a catheterization site.
D. Reinforcing the bandage is not sufficient to control active bleeding; direct pressure is necessary.
 


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Correct Answer is ["0.4"]

Explanation

To calculate the daily maintenance dose of digoxin for the infant, we first convert the ordered amount from micrograms to milligrams: 4 mcg/kg/day is equivalent to 0.004 mg/kg/day. For an infant weighing 5 kg, the daily dose would be 0.004 mg/kg/day * 5 kg = 0.02 mg/day. Now, using the concentration provided on the label, which is 0.25 mg/5 mL, we can find out how many milliliters would equate to the required daily dose. This is done by setting up a proportion: (0.25 mg / 5 mL) = (0.02 mg / X mL). Solving for X gives us X = (0.02 mg * 5 mL) / 0.25 mg, which equals 0.4 mL.

Correct Answer is B

Explanation

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

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