Which postoperative intervention should be questioned for a child after a cardiac catheterization?
a. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
b. Check the dressing for bleeding.
c. Assess the peripheral circulation on the af-fected extremity.
d. Keep the affected leg flexed and elevated.
D
The child should be positioned with the affected leg straight for 4 to 6 hours after the procedure. IV fluid administration continues until the child is taking and retaining adequate amounts of oral fluids. The insertion site dressing should be observed frequently for bleeding. The nurse should also look under the child to check for pooled blood. Peripheral perfusion is monitored after catheterization. Distal pulses should be palpable, although they may be weaker than in the contralateral extremity.
You might also like to view...
Helga Rudstrom, 88 years old, has a nursing diagnosis of "Noncompliance with medication regimen related to inability to open childproof bottles." Which of the following interventions is appropriate for Mrs. Rudstrom?
a. Instruct her daughter to dump each bottle of pills into a cup b. Instruct her daughter to leave the covers off of the bottles c. Instruct her daughter to put the daily doses of the medication in little plastic cups that her mother can take every morning d. Instruct her daughter to request special lids from the pharmacy
A nurse is planning the care for an older adult patient. Which age-related changes in kidney function should the nurse consider when providing care to this patient? (Select all that apply.)
a. Thinning of nephron membranes b. Sclerosis of renal blood vessels c. Decreasing glomerular filtrations d. Decreasing ability to concentrate or dilute urine e. Decreasing erythropoietin
Because the nature of the environment, _____ is a serious concern in the critical care environment
a. family involvement b. use of complementary therapies c. sleep deprivation d. calm environment
A patient has been admitted to the emergency department with severe bleeding from a gunshot wound to the right thigh
The nurse would expect therapy to be based in part on which laboratory values? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Blood urea nitrogen (BUN) 2. Platelet count 3. WBC (white blood cell) count 4. Hematocrit 5. Hemoglobin