A 9-month-old is two hours post-cardiac catheterization for a PDA closure. What post-operative interventions would be appropriate for nurse to perform? Select all that apply.

Rationale: A. Encourage activity to prevent atelectasis: Early activity is not advised immediately after a cardiac catheterization because movement can disrupt the clot at the insertion site, increasing the risk of bleeding or hematoma formation. The child should be kept on bed rest with the affected limb straight for the recommended period. B. Monitor skin color and temperature of the surgical limb: This is important to assess for adequate circulation to the limb after catheterization. A change in color or temperature may indicate compromised blood flow or vascular injury, which requires immediate attention. C. Check the brachial pulse closest to the surgical site: For a cardiac catheterization, the insertion site is usually in the femoral artery or vein. Checking a brachial pulse would not give relevant information about perfusion in the affected extremity. D. Check the pulse distal to the surgical site: Distal pulses, such as the dorsalis pedis or posterior tibial pulse if the femoral site was used, are essential to assess for vascular compromise following catheterization. E. Monitor for bleeding and drainage from the site: The catheterization site must be closely observed for any bleeding, swelling, or drainage. Even small amounts of bleeding can be significant in an infant and should be addressed immediately. F. Maintain NPO precautions and reduce fluid intake: Unless there are complications affecting feeding or consciousness, the child can resume fluids and feeds as ordered. Fluid restriction is not routine after cardiac catheterization unless specifically indicated by the provider.