Exhibits
What should the nurse include in post discharge care education? Select all that apply.
Give only clear liquids for several days
Avoid any kind of bath or shower
Monitor for fever
Keep a pressure dressing on the site for one week
The child may take ibuprofen for pain
Alert the physician if the site bleeds or swells.
Correct Answer : C,E,F
A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Maintaining the bed flat while sleeping is not specifically related to self-care instructions for chronic venous insufficiency caused by deep vein thrombosis. In fact, elevating the legs while sleeping may be beneficial.
B. Continuing to wear compression stockings is important for managing chronic venous insufficiency and preventing complications such as edema and venous stasis ulcers.
C. Avoiding prolonged standing or sitting helps prevent venous pooling and exacerbation of symptoms associated with chronic venous insufficiency.
D. Using a recliner for long periods of sitting can help reduce venous stasis and swelling by elevating the legs and improving venous return.
E. Crossing legs at the knee can impede blood flow and exacerbate symptoms of chronic venous insufficiency. The correct instruction would be to avoid crossing legs at both the knee and ankle.
Correct Answer is A
Explanation
A. Weigh every morning: Daily weighing helps monitor for fluid retention, which is important in managing heart failure. Sudden weight gain can indicate fluid accumulation and worsening heart failure symptoms, prompting the need for medical attention.
B. Limit fluid intake to 1,500 ml daily: While fluid restriction may be necessary for some
individuals with heart failure, the specific amount varies based on individual circumstances and should be determined by the healthcare provider. A blanket recommendation of 1,500 ml may not be appropriate for all patients.
C. Eat a high protein diet: While a balanced diet is important for overall health, there is no specific evidence to suggest that a high protein diet is essential for heart failure management. Dietary recommendations should be tailored to the individual's needs and comorbidities.
D. Perform range of motion exercises: While exercise is important for overall health, including for individuals with heart failure, range of motion exercises may not be the priority instruction for discharge teaching. Exercise recommendations should be individualized and may include aerobic and resistance training based on the client's condition and functional status.
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