Difficulty: Medium
Average Score: 80%
Simulated
Passage / Scenario
The child was diagnosed early in infancy with pulmonary stenosis. Admitted today to cardiac catheterization procedure unit for balloon angioplasty. Child returns from the cardiac catheterization room. IV fluids are infusing in R peripheral IV. Is drowsy but arouses easily and moves all extremities spontaneously. Right groin pressure dressing is intact and has a small amount of blood on the dressing. Right leg is positioned straight in bed. Right leg is cool to touch but is equal in temperature to left leg. Color to right leg is the same as left leg. Capillary refill is brisk and equal to left lower extremity. Right pedal and popliteal pulse are weaker than left lower extremity. Apical heart rate is strong and regular. Respirations are easy and unlabored. Guardians are at bedside.A nurse is caring for a 6-month-old who had a cardiac catheterization. Which of the following should the nurse plan to include in the discharge teaching?
Correct answer
B,C
Rationale
The correct answer is B and C. For choice B, administering acetaminophen or ibuprofen oral solution for pain management is appropriate post-cardiac catheterization. Pain management is crucial for the infant's comfort. Choice C is important because a cool right leg could indicate decreased blood flow or circulation issues post-procedure, which requires immediate attention to prevent complications. Choices A, D, and E are incorrect. Removing pressure dressing too soon can lead to bleeding; maintaining a clear liquid diet may not be necessary unless specified by the healthcare provider, and tub baths are typically restricted after a cardiac catheterization to prevent infection.