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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Warm skin temperature distal to pin site: Warmth in the extremity distal to the pin site is generally a positive sign and suggests adequate circulation.
B. A faint pedal pulse of the left leg suggests altered tissue perfusion distal to the traction site. This finding could indicate impaired blood flow to the foot, potentially due to the traction device compressing blood vessels or other circulatory issues.
C. Pain with movement of the left great toe: While pain with movement might indicate tissue injury, it's not necessarily indicative of altered tissue perfusion unless accompanied by other signs such as diminished pulse.
D. Purulent drainage at the pin site: Purulent drainage suggests infection rather than altered tissue perfusion.
Correct Answer is B
Explanation
A. Using rubbing alcohol to remove ink markings is not recommended as it can irritate the skin, especially in areas undergoing radiation therapy.
B. Altered taste sensations are a common side effect of radiation therapy, especially when the therapy is targeted near the head or neck. The nurse should inform the client about potential changes in taste perception and provide strategies to cope with them.
C. Wearing a binder over the radiation site is unnecessary and may cause discomfort or interfere with treatment.
D. Washing the skin thoroughly with a washcloth after each treatment is not necessary; gentle cleansing with mild soap and water is sufficient.
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