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 C
Explanation
A. Weight loss is not typically associated with heart failure in toddlers; weight gain or failure to thrive may occur.
B. Bradycardia is not typically associated with heart failure; tachycardia may occur due to compensatory mechanisms.
C. Orthopnea, difficulty breathing when lying flat, is a common symptom of heart failure in toddlers and adults.
D. Decreased urine output, rather than increased, is more typical in heart failure due to decreased cardiac output and renal perfusion.
Correct Answer is B
Explanation
A. Vanilla milkshake may be too heavy and may irritate the surgical site.
B. Crushed ice can soothe the throat and help prevent bleeding by constricting blood vessels.
C. Cranberry juice may be too acidic and could irritate the surgical site.
D. Orange juice is acidic and may be too harsh for the throat immediately postoperatively.
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