When a 9-year-old child feels nauseous and vomits after a cardiac catheterization, which is the priority nursing intervention?

Apply a cool cloth to the child's forehead.

Offer the child sips of orange juice.

Apply pressure to the cardiac catheterization site.

Monitor the cardiac catheterization site for bleeding.

Answer and Explanation

The Correct Answer is D

Choice D rationale:

Monitoring the cardiac catheterization site for bleeding is the priority nursing intervention when a child feels nauseous and vomits after a cardiac catheterization. Bleeding from the catheterization site could lead to serious complications and requires immediate attention.

Choice A rationale:

Applying a cool cloth to the child's forehead can provide comfort, but it doesn't address the potential complication of bleeding from the catheterization site.

Choice B rationale:

Offering the child sips of orange juice is not appropriate if the child is nauseous and vomiting. Fluid intake should be monitored, but bleeding assessment takes priority.

Choice C rationale:

Applying pressure to the cardiac catheterization site is not the priority intervention. Monitoring for bleeding and assessing the site are more important.

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Correct Answer is B

Explanation

Choice A rationale:

Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.

Choice B rationale:

Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.

Choice C rationale:

A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.

Choice D rationale:

Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.

A. "Does the child have a sore throat currently?”. B. "Do the caregivers have soft foods at home for the child?”. C. "When was the last time the child ate or drank anything?”. D. "Does the child have any questions about the procedure?".

Correct Answer is C

Explanation

Choice A rationale:

"Does the child have a sore throat currently?”. This choice is important but not the most critical question. The surgery involves tonsillectomy and adenoidectomy, so the child's current sore throat might not be as pertinent as other factors.

Choice B rationale:

"Do the caregivers have soft foods at home for the child?”. This choice is important for post-operative care, but the most crucial consideration is the child's fasting status before surgery.

Choice C rationale:

"When was the last time the child ate or drank anything?”. This choice is correct. It is essential to determine the child's fasting status before surgery to prevent potential complications related to anesthesia and surgery.

Choice D rationale:

"Does the child have any questions about the procedure?”. While ensuring the child's understanding is important, it is not the most critical question regarding preparation for the surgery.

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When a 9-year-old child feels nauseous and vomits after a cardiac catheterization, which is the priority nursing intervention?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

Correct Answer is B

Explanation

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Correct Answer is C

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