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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Celiac disease is an autoimmune disorder in which individuals are unable to tolerate gluten, a protein found in wheat, barley, and rye. Therefore, foods containing wheat, barley, and rye should be avoided by individuals with celiac disease. The list of allowed foods should primarily consist of gluten-free options.
A. Rice is naturally gluten-free and is safe for individuals with celiac disease to consume.
B. Oats can be included in the diet of individuals with celiac disease, but they must be specifically labeled as "gluten-free oats." Regular oats can be cross-contaminated with gluten during processing, so it's important to choose certified gluten-free oats to avoid potential issues.
C. Rye contains gluten and should be avoided by individuals with celiac disease.
D. Barley contains gluten and should be avoided by individuals with celiac disease.
Correct Answer is ["A","D","E"]
Explanation
To help the parents decrease their anxiety, the nurse can:
A. Provide the parents with ideas about how to make their child feel better after the procedure. This can help reassure the parents that they can support their child during the recovery process.
D. Find a comfortable area that the parents can wait that is close to the procedure area. Being close to the procedure area allows the parents to stay informed and feel more connected to their child during the procedure.
E. Do not give any specifics on the amount of time the procedure will take. Providing a specific time may increase anxiety, so it's often better to provide a general idea of the timeframe.
Option B is not appropriate because stating that the procedure is 100% effective and safe may not be accurate and could lead to false expectations.
Option C is not appropriate because limiting visitation based on the parents' anxiety is not typically recommended. Supportive presence is generally encouraged for both the child and parents.
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