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 C
Explanation
A. Temperature: A temperature of 38.6°C (101.5°F) is elevated, but fever is a common symptom of bacterial pneumonia. It is important to monitor, but it is not the most critical finding in this case.
B. Skin condition: Hives and flushing could be signs of an allergic reaction to medication, but this is not immediately life-threatening. The nurse should report it, but the priority in this case is the oxygen saturation, which reflects the patient's respiratory status.
C. Oxygen saturation: Oxygen saturation of 93% is below the typical threshold of 95-100% and indicates mild hypoxemia. In a patient with bacterial pneumonia, low oxygen saturation signify worsening respiratory function. This requires immediate attention and reporting.
D. Lung sounds: Coarse crackles in the right lower lobe are expected in pneumonia due to lung consolidation. While it is important to monitor lung sounds, the priority is addressing the oxygen saturation level, which is directly related to the patient's ability to breathe effectively.
Correct Answer is B
Explanation
A. "You should gradually increase lactose products in your diet." For adolescents with lactose intolerance, gradually increasing lactose products may worsen symptoms. The goal is to reduce or avoid lactose-containing foods to prevent discomfort.
B. "You should drink rice milk instead of cow's milk." Rice milk is lactose-free and can be a suitable alternative to cow's milk for someone with lactose intolerance. It is an appropriate recommendation for managing the condition.
C. "You should limit your intake of calcium-fortified orange juice." Calcium-fortified orange juice is a good source of calcium, and it can be consumed without concern for lactose intolerance. It can help provide calcium, especially if dairy intake is limited.
D. "You should eat flavored yogurt instead of plain yogurt." Flavored yogurt may contain added sugar and artificial ingredients, which are not necessarily better than plain yogurt. Plain yogurt can be easier to digest.
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