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."

Answer and Explanation

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

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

Conditions:

Placental abruption, the premature separation of the placenta from the uterine wall, can occur due to hypertension, which increases the risk of vascular damage and bleeding behind the placenta, leading to its separation.
Oligohydramnios, a condition characterized by a deficiency of amniotic fluid, is typically associated with decreased fetal urine production, renal abnormalities, or placental insufficiency. However, none of the findings listed in the scenario directly correlate with this condition.
Spontaneous abortion, also known as miscarriage, can occur due to various factors such as genetic abnormalities, hormonal imbalances, or maternal health conditions. However, none of the findings listed in the scenario directly correlate with this condition.
Chorioamnionitis is an infection of the fetal membranes and amniotic fluid. While maternal fever is often associated with chorioamnionitis, it is not a finding listed in the scenario. Additionally, the other findings do not directly correlate with this condition.
Placenta previa is a condition where the placenta partially or completely covers the cervix. This condition is not directly associated with the findings listed in the scenario.

Findings:

Hypertension is a risk factor for placental abruption due to increased vascular resistance, which can lead to vascular damage and placental separation.
Temperature elevation may indicate an infection, such as chorioamnionitis, which can increase the risk of placental abruption.
Hyperreflexia can be associated with conditions like preeclampsia, which is characterized by hypertension and can increase the risk of placental abruption.
Vomiting alone is not directly associated with an increased risk of placental abruption.
Fundal height measurement can provide information about fetal growth and gestational age but is not directly associated with an increased risk of placental abruption.

A. Administer the blood via a 21-gauge IV needle. B. Flush the blood administration tubing with 0.9% sodium chloride prior to the transfusion. C. Check the client's vital signs from the previous shift prior to the initiation of the transfusion. D. Set the IV infusion pump to administer the blood over 6 hr.

Correct Answer is B

Explanation

A. A larger-bore needle (usually 18- to 20-gauge) is recommended for blood transfusions to prevent hemolysis and ensure adequate flow rate.
B. Flushing the tubing with 0.9% sodium chloride ensures that it is primed and free from air or any incompatible solutions before starting the blood transfusion.
C. Vital signs should be checked immediately before, during, and after the transfusion to monitor for adverse reactions.
D. Blood transfusions are typically completed over 2 to 4 hours, depending on the clinical context, to reduce the risk of complications.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in labor and delivery is caring for a client who is at 30 weeks of gestation. Exhibits Select 1 condition and 1 client finding to fill in each blank in the following sentence. The client is at risk for developing dropdown due to dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

A nurse is caring for an adult client who has chronic anemia and is scheduled to receive a transfusion of 1 unit of packed RBCs. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse on a telemetry unit is assessing a client who is receiving continuous cardiac monitoring. The client's heart rate is 69/min and the PR interval is 0.24 seconds. The nurse should interpret this finding as which of the following cardiac rhythms?

A nurse is planning care for a client who is scheduled to receive a peripherally inserted central catheter in the arm. Which of the following interventions is appropriate for the nurse to include in the plan of care?

A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?

A nurse is caring for a client who presents to the emergency department. Exhibits A nurse is reviewing the client's record. Which of the following client findings indicate the need for further evaluation? Select all that apply.

A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?

A nurse is teaching a client who plans to begin following vegan dietary guidelines. Which of the following information should the nurse include?

A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following factors places the client at risk for aspiration?