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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

The initial sterile wound care for surgical clients requires an assessment of the wound's appearance and healing, which is the responsibility of the RN. PNs can provide ongoing wound care but not the first assessment.

Validating prescribed IV flow rates is within the scope of practice for a PN. This task involves observation and monitoring, which PNs are trained to perform safely and effectively.

C. Initiating teaching for client care after discharge involves comprehensive assessment, planning, and communication skills, which are typically performed by an RN.
D. Evaluating and updating plans of care for clients requires critical thinking, clinical judgment, and decision-making skills, which are typically performed by an RN.

A. A Initiate teaching for client care after discharge. B. Evaluate and update plans of care for clients. C. Begin initial sterile wound care for surgical clients. D. Validate prescribed intravenous flow rates.

Correct Answer is D

Explanation

A. Initiating teaching for client care after discharge is not within the scope of practice for a practical nurse (PN). Teaching, particularly initial or complex teaching, is a responsibility of the registered nurse (RN) because it requires assessment, planning, and evaluation of the client’s understanding.

B. Evaluating and updating plans of care is a responsibility of the RN. This activity requires critical thinking and clinical judgment to assess client progress and make adjustments to care plans, which are outside the PN’s scope of practice.

C. Performing the initial sterile wound care for surgical clients should be done by the RN. The initial wound care requires assessment of the wound’s condition, which is a task that involves critical thinking and is beyond the PN’s scope.

D. Validating prescribed intravenous flow rates is an appropriate task for the PN. This task is within their scope of practice as it involves verifying that the IV is running as prescribed but does not require the higher-level assessment and critical thinking skills reserved for the RN.

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Exhibits What should the nurse include in post discharge care education? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving a change of shift report for clients on a medical-surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

Correct Answer is B

Explanation

After receiving a change of shift report for clients on a medical surgical unit, which activity should the nurse delegate to the practical nurse (PN)?

Correct Answer is D

Explanation

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Exhibits Which interventions are indicated to promote positive outcomes for the client? Select all that apply.

Exhibits

What should the nurse include in post discharge care education? Select all that apply.