A 2-day-old infant suspected of having an atrioventricular canal defect is scheduled for a cardiac catheterization in two hours. Prior to the cardiac catheterization, the caregiver makes several statements to the nurse. Which statement by the mother would indicate a need for further education?
"I am glad my child can take a pacifier along.".
"I can feed my child before the procedure.".
"I won't bathe my child until tomorrow.".
"I should count wet diapers afterwards.".
The Correct Answer is C
Choice A rationale:
Allowing a pacifier is appropriate and unrelated to the procedure.
Choice B rationale:
Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.
Choice C rationale:
Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.
Choice D rationale:
Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice D rationale:
Preschool-aged children may fear pain and bleeding, and applying a small dressing after venipuncture helps alleviate anxiety. It provides a sense of control and comfort, as the child perceives their active participation in caring for the site.
Choice A rationale:
Showing the needle and syringe might intensify anxiety in the child, making venipuncture more distressing. It's important to minimize any distress during the procedure.
Choice B rationale:
Allowing the child to help cleanse the site could lead to more anxiety as the child might interpret it as their own responsibility for the procedure.
Choice C rationale:
Encouraging the child to show the site to adults may not be reassuring for the child and could potentially exacerbate their apprehension.
Correct Answer is A
Explanation
Choice A rationale:
Priority consideration should be given to the child's intolerance of strangers, as it directly impacts the child's safety and comfort in the hospital environment.
Choice B rationale:
Increasing modesty is a normal developmental aspect, but it doesn't take precedence over safety concerns or the immediate hospital care needs.
Choice C rationale:
Having imaginary companions is a common behavior in children and is not an immediate priority in planning care.
Choice D rationale:
While the child's preference for others making decisions might be a consideration, it is not as urgent as addressing the child's intolerance of strangers, which can affect the child's emotional well-being and cooperation during hospitalization.
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