A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)

Putting pressure above the catheter site for first signs of bleeding

regularly check the pulses and temperature of the affected extremity

Encourage play and activity rated

Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent boo

Monitor cardiac function and oxygen saturation

Answer and Explanation

Correct Answer : C

After a cardiac catheterization procedure, it is essential to restrict activity and keep the affected extremity immobilized to prevent complications such as bleeding and hematoma formation at the catheter insertion site. Encouraging play and activity can increase the risk of disrupting the catheter site or causing bleeding.

The other interventions are generally appropriate after a cardiac catheterization procedure:

A. Putting pressure above the catheter site for first signs of bleeding: This is a standard procedure to monitor for any bleeding at the catheter site and is an appropriate intervention.

B. Regularly check the pulses and temperature of the affected extremity: Monitoring pulses and temperature is important to assess for adequate circulation and early detection of any vascular complications.

D. Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent blood clots: Early mobilization can help prevent blood clots, and it is generally a recommended intervention following cardiac catheterization.

E. Monitor cardiac function and oxygen saturation: Continuous monitoring of cardiac function and oxygen saturation is crucial to detect any immediate post-procedure complications and ensure the child's cardiovascular stability.

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Correct Answer is ["A","B","C","E"]

Explanation

The congenital heart diseases that often require multiple surgeries to correct are:

A. Tetralogy of Fallot: Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.

B. Hypoplastic Left Heart Syndrome: Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.

E. Coarctation of the Aorta: Coarctation of the aorta may require multiple surgeries or interventions, depending on the severity of the coarctation and the associated cardiovascular abnormalities.

C. Atrial Septal Defect (ASD) and D. Ventricular Septal Defect (VSD) usually do not require multiple surgeries for correction. These defects can often be repaired with a single surgical intervention or may close spontaneously without surgery in some cases.

It's important to note that the necessity for multiple surgeries can vary based on the individual patient's condition and the specific anatomical details of the heart defect. Treatment plans are typically tailored to each patient's needs and can include a combination of surgical and medical interventions.

A. treatment of the underlying cause. B. low-salt diet. C. Increased exercise and fitness D. weight reduction.

Correct Answer is A

Explanation

Secondary hypertension in children is hypertension (high blood pressure) that is caused by an underlying medical condition or medication. The primary approach to managing secondary hypertension is to identify and treat the underlying cause. This may involve medical treatment, surgery, or other interventions, depending on the specific condition responsible for the high blood pressure.

While lifestyle modifications such as a low-salt diet, increased exercise, fitness, and weight reduction can be important components of managing blood pressure in some cases, they are not the primary therapy for secondary hypertension. The focus should be on addressing the root cause of hypertension, and lifestyle modifications may be recommended as part of the overall treatment plan.

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A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)

Correct Answer is ["A","B","C","E"]

Explanation

The primary therapy for secondary hypertension in children is...

Correct Answer is A

Explanation

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