Author Question: A 3-year-old child is 4 hours post-cardiac catheterization via the right femoral artery. Which ... (Read 62 times)

Zoey63294 · **on:** Jun 28, 2018

A 3-year-old child is 4 hours post-cardiac catheterization via the right femoral artery. Which assessment finding should the nurse report to the provider?

A.
Crying, complaining of pain at site
B.
Restless, tries to get up repeatedly
C.
Right pedal pulse weaker than left
D.
Wants to be held by a parent

Question 2

A nurse is monitoring a child after an interventional catheterization for PDA. Before the procedure, blood pressure was 98/42 mm Hg. After the procedure, blood pressure was 98/74 mm Hg. One hour later, the blood pressure is 96/34 mm Hg.

What action by the nurse is best?
A.
Administer epinephrine (Adrenalin).
B.
Contact the provider.
C.
Document the findings.
D.
Give a rapid fluid bolus.

leannegxo · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Pedal pulses should be equal (or unchanged) after a cardiac catheterization. If a pedal pulse on the insertion side is weaker, arterial flow to the extremity may have been disrupted, and this should be reported. Pain is expected and is treated with acetaminophen. A 3-year-old would be expected to want to get up and not lie still and might want to be held. Sedation might be required to maintain bedrest with the affected leg kept straight.

Answer to Question 2

ANS: A
After an interventional PDA repair, the child's pulse pressure should be normal (<40 dislodgement.