ATI RN
ATI Nurs 243 Pediatrics Exam Questions
Extract:
A school-age girl who had an arterial cardiac catheterization, with a 'wet' bandage soaked with blood.
Question 1 of 5
The nurse is caring for a school-age girl who had an arterial cardiac catheterization. The child tells the nurse that the bandage is 'wet.' On assessment, the bandage and bed are soaked with blood. The nurse must do which of the following FIRST?
Correct Answer: A
Rationale: The correct answer is A: Apply direct pressure at the site and one inch above the catheterization site. This is the first action to control the bleeding by promoting clot formation and preventing further blood loss. Direct pressure helps to compress the arterial puncture site and reduce bleeding. It is crucial to address the immediate concern of excessive bleeding before notifying the healthcare provider or changing the dressing. Placing the bed in the Trendelenburg position is not recommended as it may increase the risk of complications. Reinforcing the bandage without addressing the active bleeding is ineffective. Notifying the interventional cardiologist is important but should follow the immediate intervention of applying direct pressure to control the bleeding.
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Question 5 of 5
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