A nurse is providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization. Which of the following instructions should the nurse include?
You can resume a regular diet 3 days after your procedure.
You can take a shower 1 day after your procedure.
You can begin exercising 2 days after your procedure.
You can return to school 1 week after your procedure.
The Correct Answer is B
A nurse providing preoperative teaching for an adolescent who is scheduled for a cardiac catheterization should include the instruction that the client can take a shower 1 day after the procedure. This is a common instruction following cardiac catheterization.
The other options are not correct.
a) A client can usually resume a regular diet immediately after their procedure, not 3 days after.
c) A client should not begin exercising 2 days after their procedure, but should gradually increase their activity level until they reach their normal activity level within one week after the procedure.
d) A client can usually return to school within a few days after their procedure, not 1 week after.
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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}
Explanation
Compartment syndrome occurs when there is increased pressure within a closed muscle compartment, leading to reduced blood flow to the muscles and nerves in that compartment. In this case, the open fracture and subsequent reduction and stabilization procedure can cause swelling and increased pressure within the affected compartment. This can impede blood flow and potentially lead to tissue damage. Common symptoms include severe pain, swelling, numbness, and decreased or absent pulses. Immediate medical attention is necessary if compartment syndrome is suspected.
Deep Vein Thrombosis (DVT) refers to the formation of blood clots within the deep veins, typically in the lower extremities. In the case of a client with an open fracture and immobilization with a splint, the risk of DVT increases due to factors such as reduced mobility, injury to blood vessels, and blood stasis. DVT can lead to serious complications if a clot dislodges and travels to the lungs, causing a pulmonary embolism. Symptoms of DVT may include pain, swelling, warmth, and redness in the affected limb.
While osteomyelitis and fat embolism syndrome can occur as complications of long bone fractures, they are not explicitly mentioned in the given scenario. Osteomyelitis refers to an infection in the bone, which can develop if bacteria enter an open fracture. Fat embolism syndrome can occur when fat globules from the bone marrow enter the bloodstream, usually following a long bone fracture.
Correct Answer is A
Explanation
The nurse should include the instruction to "verify the identity of anyone who wants to remove your baby from the room" in the teaching about security procedures. It is important for parents to be vigilant and ensure that only authorized personnel have access to their baby.
Option b is incorrect because it may not be safe for the parent to leave their baby unattended in their room while they walk in the hallway.
Option c is incorrect because newborns typically have two identification bands, one on their arm and one on their leg.
Option d is incorrect because parents should not leave the unit with their baby without proper authorization and discharge procedures.
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