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What should priorities for nursing care be established for Tommy?

What should priorities for nursing care be established for Tommy?

Tommy, a 3-year-old boy with tetralogy of Fallot, has just returned to his hospital room from the cardiac catheterization recovery room. His mother calls you to the bedside to tell you that he is vomiting and bleeding. You arrive to find Tommy anxious, pale, crying, and sitting in a puddle of blood.

Questions

1. Evidence—Is there sufficient evidence to draw conclusions about Tommy’s situation?

2. Assumptions—Describe an underlying assumption about each of the following:

a. Risks of cardiac catheterization

b. Association between vomiting and bleeding after cardiac catheterization

c. Concerns related to acute blood loss

3. What should priorities for nursing care be established for Tommy?

4. Does the evidence support your nursing interventions?