Nursing interventions for the child after a cardiac ...

[jlmhmf]

Nursing interventions for the child after a cardiac catheterization should include which actions? (Select all that apply.)
 
  a. Allow ambulation as tolerated.
  b. Monitor vital signs every 2 hours.
  c. Assess the affected extremity for temperature and color.
  d. Check pulses above the catheterization site for equality and symmetry.
  e. Remove pressure dressing after 4 hours.
  f. Maintain a patent peripheral intravenous catheter until discharge.

Question 2

The nurse is admitting a child with coarctation of the aorta. Which figure depicts this congenital heart defect?
 
  a. c.
  b. d.

[dyrone]

Answer to Question 1

ANS: C, F
The extremity that was used for access for the cardiac catheterization must be checked for temperature and color. Coolness and blanching may indicate arterial occlusion. The child should have a patent peripheral intravenous line (PIV) to ensure adequate hydration. The child should remain on bed rest with the leg extended for a minimum of 4 hours. Initially vital signs are taken every 15 minutes, with emphasis on a heart rate counted for 1 minute. Pulses above the catheterization site should not be affected by the catheterization. Pulses distal to the site should be monitored. The pressure dressings should not be removed for 24 hours.

Answer to Question 2

ANS: A
The figure that depicts a narrowing of the aortic arch is coarctation of the aorta. It typically occurs past the ductal area but can occur in other areas along the aortic arch. The figure that depicts an opening between the atria is atrial septal defect. The figure that depicts an opening between the ventricles is ventricular septal defect. The figure that depicts an opening from the atrium to the pulmonary artery is patent ductus arteriosus.

[jlmhmf]

Thanks for the timely response, appreciate it

[olderstudent]

Excellent