This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit. The nurse educates the parents on post-discharge care for the child.
What should the nurse include in post-discharge care education? Select all that apply.
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
Give only clear liquids for several days
Avoid any kind of bath or shower
Monitor for fever
Correct Answer : C,F
In post-discharge care education for a 3-year-old with a history of ventricular septal defect, the nurse should include the following:
C. Alert the physician if the site bleeds or swells: This is important because it may indicate complications or issues related to the ventricular septal defect.
F. Monitor for fever: Fever can be a sign of infection or other concerns, so it's important to monitor for any changes in the child's temperature.
The other options are not applicable or advisable for post-discharge care in this context:
A. Keeping a pressure dressing on the site for one week is not typically necessary for ventricular septal defect and may not be appropriate for a 3-year-old.
B. Giving ibuprofen for pain is not relevant in this context, as pain management for ventricular septal defect is not typically managed with ibuprofen.
D. Giving only clear liquids for several days is not indicated for ventricular septal defect or post-discharge care.
E. Avoiding any kind of bath or shower is not a standard practice for post-discharge care for a child with a ventricular septal defect.
The focus should be on monitoring for signs of complications, such as bleeding, swelling, or fever, and seeking medical attention when necessary.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
While it is essential to prioritize the client's confidentiality and autonomy, it is also important to provide the client with information and education about the available options. In this case:
A. Telling the client how to receive free oral contraceptives from the clinic without addressing the client's need for information and counseling is not an adequate response. It's essential to ensure the client is well-informed about her choices.
B. Encouraging the client to discuss her need for contraceptives with her parents is a valid suggestion, but it may not always be practical or possible for every individual, and the client has already expressed her desire for confidentiality. The nurse should respect the client's autonomy and right to make her own healthcare decisions.
C. Explaining that parental approval is needed to receive contraceptives may discourage the client from seeking essential contraceptive services and may not align with the laws and regulations in many places that allow minors to access contraceptives confidentially.
D. Counseling the client about the risks and benefits of using oral contraceptives is an important step. This allows the client to make an informed decision about her sexual health and contraceptive options. The nurse should also discuss safer sex practices, regular healthcare check-ups, and the importance of open communication with healthcare providers.
Correct Answer is ["C","F"]
Explanation
In post-discharge care education for a 3-year-old with a history of ventricular septal defect, the nurse should include the following:
C. Alert the physician if the site bleeds or swells: This is important because it may indicate complications or issues related to the ventricular septal defect.
F. Monitor for fever: Fever can be a sign of infection or other concerns, so it's important to monitor for any changes in the child's temperature.
The other options are not applicable or advisable for post-discharge care in this context:
A. Keeping a pressure dressing on the site for one week is not typically necessary for ventricular septal defect and may not be appropriate for a 3-year-old.
B. Giving ibuprofen for pain is not relevant in this context, as pain management for ventricular septal defect is not typically managed with ibuprofen.
D. Giving only clear liquids for several days is not indicated for ventricular septal defect or post-discharge care.
E. Avoiding any kind of bath or shower is not a standard practice for post-discharge care for a child with a ventricular septal defect.
The focus should be on monitoring for signs of complications, such as bleeding, swelling, or fever, and seeking medical attention when necessary.
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