A nurse is assisting with the care of a toddler who has a septal defect and is scheduled for a cardiac catheterization. Which of the following actions should the nurse take?
Determine if the toddler has an allergy to iodine prior to the procedure.
Check the toddler's vital signs once each hour following the procedure.
Give the toddler clear liquids prior to the procedure.
Administer meperidine for pain immediately following the procedure.
The Correct Answer is A
A. Determine if the toddler has an allergy to iodine prior to the procedure: Cardiac catheterization typically involves the use of iodine-based contrast dye. It is crucial to determine if the toddler has an allergy to prevent any adverse reactions, during the procedure.
B. Check the toddler's vital signs once each hour following the procedure: After a cardiac catheterization, vital signs should be monitored more frequently than once per hour. Typically every 15-30 minutes during the first few hours following the procedure to detect any complications.
C. Give the toddler clear liquids prior to the procedure: Clear liquids are restricted before a procedure like cardiac catheterization, especially if sedation or anesthesia is involved. The child may be required to fast for several hours before the procedure to reduce the risk of aspiration.
D. Administer meperidine for pain immediately following the procedure: Meperidine is not recommended for pain management in children due to its potential for side effects, including seizures. Safer alternatives, like acetaminophen or morphine, are preferred
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. “I will push the medication to the back of my baby's mouth quickly using a syringe":
Pushing medication to the back of the mouth quickly could cause the baby to gag or choke. It’s better to administer the medication slowly to ensure the baby swallows it safely.
B. "I will gently squeeze my baby's cheeks when giving the medication.": Gently squeezing the baby's cheeks helps guide the baby to open their mouth and accept the medication. This ensures safe administration of oral medications without causing discomfort or distress.
C. "I will add the medication to 8 ounces of formula": Adding medication to formula is not recommended as it can alter the medication's effectiveness and make it harder to ensure the correct dosage. It is better to give the medication separately from formula.
D. "I will mix the medication in a 4-ounce bowl of rice cereal at breakfast": Mixing the medication with rice cereal could lead to the baby not receiving the full dose if they do not finish the cereal. Medications should generally be administered separately to ensure the full dose is given.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}
Explanation
Rationale for Correct Choices:
- Consult the child life specialist for guidance: A child life specialist can help the parent navigate the difficult conversation with their adolescent, providing strategies for addressing sensitive topics like metastasis and death.
- Reinforce teaching to the parent regarding the adolescent's potential emotional responses: Educating the parent on common emotional responses helps them prepare for and better support their adolescent through this challenging time.
Rationale for Incorrect Choices:
- Encourage the parent to hide their emotions from their adolescent: Hiding emotions can create barriers to trust and communication, which can make the adolescent feel isolated or confused.
- Instruct the parent to withhold the test results from their adolescent: Withholding important information can prevent the adolescent from understanding their condition and making informed decisions about their care.
- Discourage the parent from discussing the possibility of death with their adolescent: Avoiding discussions about death can prevent the adolescent from processing their emotions and understanding the reality of their situation.
- Collaborate with the RN to initiate a referral for admission to hospice care: Hospice care should only be considered after emotional support and clear communication have been established, not prematurely without addressing emotional needs first.
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