Exhibits

After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure.

For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

I can show my child a movie or read him a book during the procedure.

Correct Answer: Understanding

Rationale: Echocardiograms are non-invasive and do not require the patient to remain still, so activities like watching a movie or reading a book can be comforting and are often encouraged to help the child stay calm during the procedure.

The echocardiogram is a painful procedure.

Correct Answer: No understanding

Rationale: Echocardiograms are painless tests that use ultrasound (sound waves) to capture images of the heart. It involves no needles or incisions, and there should be no pain associated with the procedure itself.

Echocardiography uses soundwaves to produce images.

Correct Answer: Understanding

Rationale: Echocardiography, indeed, uses high-frequency sound waves to create detailed images of the heart and its structures, allowing for the assessment of heart function and the detection of abnormalities.

The echocardiogram will produce an image of the structure of the heart.

Correct Answer: Understanding

Rationale: The primary purpose of an echocardiogram is to provide a visual representation of the heart's structure and function, including the chambers, valves, and major blood vessels, to aid in diagnosis and monitoring of heart conditions.

- A: Raising the head of the bed to a 90-degree angle may help alleviate the client's nausea, but it is not the most comfortable position for someone experiencing epigastric pain due to pancreatitis. This position may also increase pressure on the diaphragm, which can worsen discomfort.
- B: The reverse Trendelenburg position, where the body is inclined with the head higher than the feet, may be used to promote gastric emptying and reduce reflux, but it is not specifically beneficial for relieving epigastric pain or nausea associated with pancreatitis.
- C: Reinforcing bed rest may be seen as ignoring the client's expressed need for a position change to relieve discomfort. While rest is important, the client's request to sit up and lean forward indicates a need for positional relief of pain.
- D: Positioning a bedside table for the client to lean across can provide the support they need to maintain a forward-leaning position, which is known to relieve epigastric pain by reducing tension on the abdominal region. This position is often instinctively chosen by clients with pancreatitis and should be facilitated by the nurse for comfort and pain relief.