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 A
Explanation
A. Frequent swallowing may indicate bleeding from the surgical site, as the child may swallow blood.
B. Mouth breathing may occur for various reasons after a tonsillectomy but is not specific to hemorrhage.
C. Reports of pain are common after surgery but are not specific to hemorrhage.
D. Reports of thirst are also common postoperatively and not specific to hemorrhage.
Correct Answer is A
Explanation
A. Giving pancreatic enzymes before snacks and meals helps improve digestion and absorption of nutrients in children with CF.
B. Restricting salt intake is not typically necessary in CF; in fact, salt supplementation may be required, especially during hot weather or during episodes of increased sweating.
C. Limiting fluid intake is not typically necessary in CF; adequate hydration is important to maintain mucus clearance.
D. Children with CF often require a high-calorie, high-protein diet to meet their nutritional needs and support growth and weight gain.
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