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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?

A.

"Your child can take a tub bath this evening."

B.

"You should give your child a clear liquid diet for 24 hr."

C.

"You should remove your child's pressure dressing tomorrow."

D.

"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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Related Questions

Correct Answer is D

Explanation

A: Changing the TPN bag and tubing every 24 hours is standard practice to prevent infection, so this action is appropriate.
B: Checking glucose levels every 6 hours is necessary because TPN can significantly affect blood glucose levels.
C: Gradually increasing the TPN rate is a standard procedure to monitor tolerance to the infusion.
D: This indicates a need for intervention. TPN lines should not be used for any other infusions to prevent contamination and interactions between the nutrition formula and medications.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"}}

Explanation

A. Applying lotion to the skin is contraindicated during phototherapy because it can interfere with the effectiveness of the therapy by blocking the light from reaching the skin. B. Supplementing feeding with sterile water is contraindicated because it can decrease the newborn's intake of breast milk or formula, which is essential for hydration and nutrition, especially during phototherapy. C. Breastfeeding is indicated and encouraged every 2 to 3 hours because it helps to maintain hydration and promotes bilirubin excretion, which can help in reducing jaundice levels. D. Covering the newborn's eyes with a shield is indicated during phototherapy to protect the eyes from the bright lights used in the treatment, which can potentially damage the retina and cause eye problems. E. Dressing the newborn in only a diaper is indicated during phototherapy to maximize the exposure of the skin to the light, which enhances the effectiveness of the treatment in reducing bilirubin levels.

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