A nurse is providing discharge teaching for the guardian of a school-age child following a cardiac catheterization. Which of the following instructions should the nurse include in the teaching?
"Your child can take a tub bath this evening."
"You should give your child a clear liquid diet for 24 hr."
"You should remove your child's pressure dressing tomorrow."
"Your child should stay out of school for 7 days following the procedure."
The Correct Answer is C
A. To prevent infection and ensure proper healing, it's usually advised to avoid submerging the catheterization site in water until it has adequately healed.
B. There is generally no need for a special diet such as a clear liquid diet following cardiac catheterization unless specified for other reasons.
C. Following cardiac catheterization, it's important to keep the pressure dressing in place to ensure proper healing and prevent bleeding from the catheterization site. Typically, the dressing is removed the next day under safe, controlled conditions.
D. Typically, children can return to school within a few days after cardiac catheterization unless complications arise or there are other specific medical advisories.
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Correct Answer is B
Explanation
A. Modern ICDs are designed to withstand interference from household appliances like microwaves.
B. Wearing loose clothing over the implant site can help avoid irritation and discomfort around the ICD.
C. It is recommended to keep cell phones at least six inches away from the ICD to avoid potential electromagnetic interference.
D. There is no general restriction against showering with an ICD; precautions mainly focus on the period immediately after implantation.
Correct Answer is A
Explanation
A: Warm showers can help relieve stiffness and pain associated with osteoarthritis by improving circulation and relaxing muscles.
B: Placing a large pillow under the knees can actually exacerbate joint stiffness and pain in osteoarthritis by forcing the knee into a bent position.
C: There is no specific recommendation to limit dietary phosphorus for osteoarthritis pain management.
D: Placing an ice pack directly on the skin can cause frostbite and damage to the skin; it should be wrapped in a cloth first.
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