The nurse is assigned to care for a child who is scheduled for a catheterization for balloon dilation of narrow heart valves. Which of the following is most important for the nurse to do?
a. Listen to the parents' or caregivers' fears and concerns and allay fears.
b. Make certain the child has had nothing to eat or drink for 12 or more hours preceding the surgery.
c. Ask about any latex allergy the child might have, and notify surgery immediately if there is a latex allergy.
d. Take a last-minute set of vital signs before the surgery stretcher and staff members come for the child.
C
Feedback
A Incorrect. While listening to the parents' or caregivers' fears and concerns and allaying fears is important, it is not the most important nursing action prior to the catheterization.
B Incorrect. The child should be NPO for 4 to 6 hours prior to the procedure, but this is not the most important consideration before the procedure.
C Correct. It is most important for the nurse to ask about any latex allergy the child might have, and notify surgery immediately if such an allergy exists. Some catheters used in the catheterization laboratory have latex balloons. If the child has a latex allergy, use of such a balloon can precipitate a life threatening reaction.
D Incorrect. Taking a last-minute set of vital signs before the surgery stretcher and staff members come for the child is not the most important nursing action prior to the cath.
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Indicate whether the statement is true or false