Difficulty: Medium
Average Score: 78%
Simulated
Passage / Scenario
1330Cardiac catheterization performed; ventricular septal defect closed with mesh
Admit to the pediatric floor for observation
Check pedal pulses every 4 hours
Nothing by mouth
Place the child on a continuous cardiopulmonary monitor
What two orders would the nurse question?
Correct answer
B,C
Rationale
Checking pedal pulses every 4 hours is too infrequent post-catheterization; more frequent monitoring is needed. Lactated Ringer's at 66 mL/hr while NPO requires clarification due to fluid balance concerns in cardiac patients.