ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A preschool aged child immediately following an open repair of a Ventricular Septal Defect, with no drainage from the mediastinal chest tubes in the last 2 hours.
Question 1 of 5
The nurse is caring for a preschool aged child immediately following an open repair of a Ventricular Septal Defect. There has been no drainage from the mediastinal chest tubes in the last 2 hours. Based on this finding what will be the nurse's priority intervention?
Correct Answer: C
Rationale: The correct answer is C: Immediately report this finding as this is life threatening. The absence of drainage from mediastinal chest tubes post open repair of a Ventricular Septal Defect can indicate a potential complication such as cardiac tamponade or tension pneumothorax, both of which are life-threatening emergencies requiring prompt intervention. The nurse should prioritize reporting this finding to the healthcare provider to ensure timely assessment and management.
Choices A, B, and D are incorrect because they do not address the urgent nature of the situation and may delay necessary interventions.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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