An RN is caring for a school-age child following a heart catheterization. Which of the following findings should concern the RN the most?
Poor appetite
Slight pain
Anxiety
Bleeding
The Correct Answer is D
A. Poor appetite may be expected post-procedure due to anesthesia or discomfort but is not typically a cause for immediate concern.
B. Slight pain is common after a heart catheterization and can be managed with appropriate pain relief measures.
C. Anxiety is a common emotional response to medical procedures but does not typically indicate a complication.
D. Bleeding post-heart catheterization can indicate a potential complication such as hemorrhage, which requires immediate attention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Capillary refill assesses peripheral perfusion and is not directly related to tracheostomy suctioning.
B. Increased respiratory rate may indicate distress or inadequate airway clearance, not necessarily effectiveness of suctioning.
C. Oxygen saturation should be monitored but may not immediately reflect the effectiveness of suctioning.
D. Clear breath sounds indicate that the airway is patent and free of secretions, suggesting effective suctioning.
Correct Answer is C
Explanation
A. Tetralogy of Fallot is characterized by decreased pulmonary blood flow.
B. Tricuspid atresia is characterized by decreased blood flow to the lungs.
C. Patent ductus arteriosus allows increased blood flow from the aorta to the pulmonary artery, leading to increased pulmonary blood flow.
D. Coarctation of the aorta involves narrowing of the aorta, leading to decreased systemic blood flow.
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