CCRN Critical Care Nursing

Category - Pediatrics

A pediatric client was returned to the unit after a heart surgery. Contraptions are: Left chest tube drainage attached to a bottle system; an IVF of D5 NSS at 32 gtts/min; and an NGT to gravity. The client was then attached to a cardiac monitor. What would be the priority nursing intervention:
  1. obtain vital signs
  2. check the identification bracelet
  3. check the IVF level and flow rate
  4. measure the drainage of both tubing.
Explanation
Answer: A - Vital signs should be the priority to determine the child’s status and compare it with the dtata obtained during the pre-operative period.
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