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.
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Related Questions
Correct Answer is D
Explanation
A. While fluid restriction may be necessary for some clients with heart failure, a general fluid
intake limit of 1,500 mL daily may not be appropriate for all clients. Fluid restriction should be individualized based on the client's clinical status and recommended by the healthcare provider.
B. While a balanced diet, including adequate protein intake, is important for overall health, there is no specific evidence to suggest that a high protein diet is necessary for clients with heart
failure. Dietary recommendations should be individualized based on the client's nutritional needs and medical condition.
C. Range of motion exercises may be beneficial for maintaining joint mobility, but they are not specifically related to managing heart failure symptoms or preventing exacerbations.
D. Weighing every morning is an important self-monitoring strategy for clients with heart failure to assess for fluid retention. Sudden weight gain may indicate fluid accumulation, which can be an early sign of worsening heart failure. Daily weight monitoring allows for early intervention and adjustment of treatment as needed.
Correct Answer is A
Explanation
A. Informing the client that gradual tapering must be used to discontinue the medication is crucial because abruptly stopping antidepressants can lead to withdrawal symptoms or the return of depressive symptoms. This response acknowledges the client’s concerns and provides a safe approach to discontinuation.
B. While side effects may diminish over time for some individuals, this response does not address the client's concerns or provide guidance on how to manage the side effects.
C. Reminding the client that feeling better is the therapeutic effect of the medication does not address the client's concerns about side effects or desire to discontinue the medication.
D. While discussing side effects with the healthcare provider is important, it does not address the need for a safe discontinuation process, which is why gradual tapering should be emphasized first.
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