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.

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Correct Answer is D

Explanation

A. EMLA cream is used for pain relief and is not typically necessary for quick procedures like catheterization in toddlers.
B. This is not necessary for catheterization; it’s more relevant to a clean catch or midstream urine sample.
C. This size is too large for a toddler; smaller sizes, typically 5-8 French, are used for pediatric patients.
D. When performing a catheterization, especially in a sterile procedure like obtaining a urine culture, it is critical to wear sterile gloves to prevent infection

A. "I can clean my cat's litter box during my pregnancy." B. "I should take antibiotics when I have a virus." C. "I can visit my nephew who has chickenpox 5 days after the sores have crusted." D. "I should wash my hands for 10 seconds with hot water after working in the garden."

Correct Answer is C

Explanation

A. Cleaning a cat's litter box can expose pregnant individuals to toxoplasmosis, a risk factor for congenital birth defects.
B. Antibiotics are not effective against viral infections and should not be used unnecessarily.
C. Waiting until the chickenpox sores have crusted reduces the risk of transmission, indicating an understanding of infection prevention. This statement reflects appropriate knowledge about infectious disease control during pregnancy.
D. While handwashing is important, the recommended duration is at least 20 seconds, and hot water is not necessary for effective hand hygiene.

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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?

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