For a 4-year-old scheduled for a cardiac catheterization, which preparation is appropriate?

• A. Bring the child to the hospital for a tour a week in advance
• B. Explain that the child will need a large bandage after the procedure
• C. Discourage bringing favorite toys
• D. Explain that the child may get up as soon as the vital signs are stable

Answer: (B)

Preparing a preschooler for cardiac catheterization focuses on postprocedure care that protects the arterial access site and helps the child cope. After the catheter is removed, a pressure dressing is applied to secure hemostasis at the arterial puncture site, and this dressing is typically large to ensure adequate pressure is maintained for several hours. Explaining to the child and family that a large bandage will be used after the procedure sets clear expectations about what to expect, helps reassure them, and reinforces the need to limit movement to protect the site. This understanding reduces anxiety and supports safe recovery.

Other options aren’t as helpful: touring the hospital a week in advance isn’t necessary and can increase worry; encouraging the child to get up as soon as vital signs are stable could compromise the puncture site; and discouraging a favorite toy may heighten anxiety—allowing comfort items can aid coping during the stressful procedure.