A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Apply pressure just above the insertion site.

Monitor the pulse distal to the insertion site.

Obtain vital signs.

Reinforce the dressing.

Answer and Explanation

The Correct Answer is A

A.   This is the first step to control bleeding and prevent further blood loss.
B.   Monitoring the distal pulse is important, but controlling bleeding takes precedence.
C.   Vital signs can wait momentarily until the bleeding is under control.
D.   Reinforcing the dressing may be necessary, but controlling bleeding is the immediate priority.

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Correct Answer is B

Explanation

A) An increase in potassium levels is not an expected finding with furosemide; instead, hypokalemia is a potential side effect.
B) Furosemide is a diuretic commonly used to decrease fluid retention and edema, so a decrease in peripheral edema would indicate the medication's effectiveness.
C) A decrease in cardiac output is not a desired effect of furosemide and may indicate worsening heart failure.
D) An increase in venous pressure would suggest venous congestion, which is not an indication of effective furosemide therapy.

A. Kyphosis B. Constipation C. Enuresis D. Facial twitching

Correct Answer is D

Explanation

A) Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia.
B) Constipation can occur but is not typically an urgent complication.
C) Enuresis, or bedwetting, may be a concern but is not typically an urgent complication.
D) Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.

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A nurse is assessing a child who is 2 hr postoperative following a cardiac catheterization and finds the dressing is saturated with blood. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child who has heart failure and is taking furosemide. Which of the following findings should the nurse identify as an indication that the medication is effective?

Correct Answer is B

Explanation

A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

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