A nurse is caring for a school-age child who is 2 hr postoperative following a cardiac catheterization. The nurse observes blood on the child's dressing. Which of the following actions should the nurse take?

Apply intermittent pressure 2.5 cm (1 in) above the percutaneous skin site.

Apply continuous pressure 2.5 cm (1 in) above the percutaneous skin site.

Apply intermittent pressure 2.5 cm (1 in) below the percutaneous skin site.

Apply continuous pressure 2.5 cm (1 in) below the percutaneous skin site.

Answer and Explanation

The Correct Answer is B

A.   Applying intermittent pressure may not effectively stop bleeding from a cardiac catheterization site, as continuous pressure is typically more effective in controlling post-procedural bleeding.
B.   Applying continuous pressure 2.5 cm above the percutaneous site is the appropriate action to stop bleeding from the catheterization site.
C.   Applying pressure below the site may not effectively control bleeding and could compromise the site.
D.   Continuous pressure should be applied above the percutaneous site, not below, to control bleeding.

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Correct Answer is C

Explanation

A. Increased intake of milk products can exacerbate symptoms of irritable bowel syndrome in some clients.
B. Fructose corn syrup can worsen symptoms and is not recommended for clients with IBS.
C. Foods high in bran fiber are often recommended for IBS as they can help with bowel regularity and reduce symptoms.
D. Gluten is not beneficial for IBS and should be avoided if the client has gluten sensitivity.

A. Cross the client's arms across their chest. B. Remove the client's dentures from their mouth. C. Place the client in a high-Fowler's position. D. Hold the client's eyes shut for a few seconds.

Correct Answer is D

Explanation

A. Crossing the arms across the chest is not a recommended practice in postmortem care. The arms should be placed at the sides of the body or in a natural position.
B. Dentures should be left in the mouth unless there are specific cultural or legal reasons to remove
them. The client’s appearance should be as natural as possible.
C. Placing the client in a high-Fowler's position is not recommended after death. It can be uncomfortable and may distort the body.
D. Holding the client’s eyes shut is important to prevent the eyes from remaining open after death. This is commonly done as part of postmortem care to make the body appear more peaceful.

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