A nurse is caring for a 6-month-old who had a cardiac catheterization.

Exhibits

Choose words from the choices below to fill in each blank in the following sentence. Which of the following should the nurse plan to include in the discharge teaching?

The nurse should plan to include_and__ in the discharge instructions for the guardians.

remove pressure dressing four hours after discharge

administer acetaminophen or ibuprofen oral solution if needed for pain

call provider if right leg feels cool to touch in comparison to left leg

maintain clear liquid diet for 24 hr after discharge

tub bath is permitted 24 hr after procedure

Answer and Explanation

Correct Answer : B,C

The nurse should plan to include Target 1: administer acetaminophen or ibuprofen oral solution if needed for pain and Target 2: call provider if right leg feels cool to touch in comparison to left leg in the discharge instructions for the guardians.

Rationale:

Administer acetaminophen or ibuprofen oral solution if needed for pain: This instruction is important for managing post-procedure discomfort and promoting the child's comfort.
Call provider if right leg feels cool to touch in comparison to left leg: This is a critical instruction, as it can indicate potential complications like bleeding or thrombosis. Early identification of these issues is essential for timely intervention.

The other options are not appropriate for discharge teaching in this case:

Remove pressure dressing four hours after discharge: This is typically done in the hospital setting under the supervision of healthcare professionals.
Maintain clear liquid diet for 24 hr after discharge: A clear liquid diet may not be necessary after discharge, especially if the child is tolerating oral intake well.
Tub bath is permitted 24 hr after procedure: While bathing is generally allowed after the procedure, specific instructions regarding water temperature and avoiding submerging the incision site should be provided.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A child with varicella (chickenpox) should return to school only after all the blisters have crusted over, indicating that the infectious stage has passed and they are no longer contagious.

B. Receiving the varicella vaccine does not apply to children who already have the infection; vaccination is preventive, not a treatment for those already infected.

C. Completing one week of antiviral medication is not a sufficient criterion for returning to school, as the child may still be contagious until all lesions are crusted.

D. Returning to school as soon as the rash appears is not safe, as the child is highly contagious during the initial rash stage and until all lesions have crusted.

A. Increased risk-taking behaviors B. Greater incidence of accidental injuries C. Reduced mental health issues D. Improved social relationships E. Higher likelihood of substance abuse F. Enhanced academic performance

Correct Answer is ["A","B","E"]

Explanation

A. Increased risk-taking behaviors are common as adolescents may feel invulnerable and engage in dangerous activities without considering the consequences.

B. Greater incidence of accidental injuries is often a result of risk-taking behaviors, which can be influenced by feelings of invulnerability.

C. Reduced mental health issues is incorrect as feelings of invulnerability can lead to increased stress and anxiety, negatively impacting mental health.

D. Improved social relationships are not guaranteed; feelings of invulnerability may actually lead to conflict or isolation if risk-taking behaviors are harmful.

E. Higher likelihood of substance abuse can result from a belief in invulnerability, leading adolescents to underestimate the risks associated with drug and alcohol use.

F. Enhanced academic performance is not directly linked to feelings of invulnerability and may suffer due to distractions from risky behaviors.

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Naxlex Comprehensive Predictor Exams

What is the recommended time for a child with varicella to return to school?

Correct Answer is A

Explanation

Which of the following are common manifestations and potential consequences of an adolescent's feelings of invulnerability? (Select all that apply)

Correct Answer is ["A","B","E"]

Explanation

The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

A nurse is preparing to administer amoxicillin 320 mg PO every 12 hr to an infant. The amount available is amoxicillin suspension 400 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following?

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