Which of the following should be included in the instructions to an active adolescent who is going home after an outpatient cardiac catheterization?

Leave the pressure dressing on for 7 days

Maintain strict bed rest for three days.

Avoid tub baths, but may shower in the morning

Stay home from school until the Band-Aid is removed

Answer and Explanation

The Correct Answer is C

A. The pressure dressing is usually removed within 24 hours, not left on for 7 days. Extended dressing use may increase the risk of skin irritation or infection.
B. Strict bed rest is typically recommended for a few hours after the procedure, not for three days. Most adolescents can resume light activity within 24 hours.
C. After a cardiac catheterization, tub baths should be avoided for 2–3 days to prevent infection at the insertion site, but showering is generally safe the next day, provided the site is protected and not scrubbed.
D. Returning to school is typically permitted within 1 to 2 days after the procedure, depending on the child’s condition and physician recommendations—Band-Aid removal is not a relevant factor in determining return to school.

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Correct Answer is D

Explanation

A. While scald burns can be suspicious, especially if they have clear lines or are immersion-type burns, variations in depth alone may also occur accidentally and need further investigation before confirming abuse.
B. A maculopapular rash is commonly associated with viral infections or allergic reactions, not abuse.
C. A tall, thin appearance may suggest a constitutional body type or a medical condition, but it is not a specific indicator of abuse.
D. Linear abrasions on the ankles and wrists may suggest restraints or bindings, which are highly suspicious for physical abuse, especially if not explained by a medical procedure or accident. These marks are considered red flags and should prompt further investigation.

A. Prepare to administer morphine sulphate B. Prepare to administer IV fluids C. Call a code blue D. Place the infant in a knee-to-chest position E. Administer a bronchodilator F. Prepare to administer 100% oxygen by face mask

Correct Answer is ["A","B","D","F"]

Explanation

A. Morphine sulfate is used to calm the infant and reduce respiratory effort, which decreases right-to-left shunting of blood and helps improve oxygenation during a "Tet spell."
B. Administering IV fluids increases preload, which can help reduce the severity of the right-to-left shunting by promoting more blood flow to the lungs.
C. Calling a code blue is not typically the first step unless the infant becomes unresponsive or pulseless. Tet spells can often be managed effectively with prompt nursing interventions.
D. Placing the infant in a knee-to-chest position increases systemic vascular resistance, which reduces right-to-left shunting and improves oxygenation.
E. Bronchodilators are used for bronchospasm-related respiratory issues (e.g., asthma), not congenital heart defects like Tetralogy of Fallot.
F. Administering 100% oxygen by face mask helps improve oxygen saturation, although it is not the primary treatment, it supports oxygenation during the episode.

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Which of the following should be included in the instructions to an active adolescent who is going home after an outpatient cardiac catheterization?

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Naxlex Comprehensive Predictor Exams

Of all the physical findings noticed on a child, which is most likely to indicate abuse?

Correct Answer is D

Explanation

A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant suddenly becomes cyanotic, and his oxygen saturation reading drops to 60% Choose the interventions the nurse should perform. (Select All that Apply.)

Correct Answer is ["A","B","D","F"]

Explanation

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