What is the nurse’s first action when planning to teach the parents of an infant with a congenital heart defect (CHD)?
Assess the parents’ anxiety level and readiness to learn.
Gather literature for the parents.
Secure a quiet place for teaching
Discuss the plan with the nursing team
The Correct Answer is A
Assess the parents’ anxiety level and readiness to learn. This is because the nurse needs to evaluate the parent’s emotional state and their ability to comprehend and retain information before providing any teaching.
The nurse should also consider the parent's learning style, cultural background, and literacy level.
Choice B is wrong because gathering literature for the parents is not the first action. The nurse should first assess the parents’ needs and preferences and then select appropriate materials that match their level of understanding and language.
Choice C is wrong because securing a quiet place for teaching is not the first action. The nurse should first assess the parents’ readiness to learn and then choose a suitable environment that minimizes distractions and promotes comfort.
Choice D is wrong because discussing the plan with the nursing team is not the first action. The nurse should first assess the parents’ anxiety level and readiness to learn and then collaborate with other health care professionals to provide consistent and accurate information.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Therapeutic management includes the administration of gamma globulin and aspirin. This is because Kawasaki disease causes inflammation in the walls of small to medium-sized blood vessels that carry blood throughout the body and can lead to complications such as coronary artery aneurysms. Gamma globulin is an intravenous immunoglobulin that can reduce the risk of these complications, and aspirin can help lower fever and inflammation.
Choice A is wrong because the child’s fever is usually not responsive to antibiotics within 48 hours. Kawasaki disease is not caused by a bacterial infection, so antibiotics are not effective.
Choice B is wrong because the principal area of involvement is not the joints. Kawasaki disease affects mainly the blood vessels, but it can also cause swelling in glands (lymph nodes) and mucous membranes inside the mouth, nose, eyes and throat. Joint pain or swelling may occur, but it is not the main feature of the disease.
Choice C is wrong because aspirin is not contraindicated. Aspirin is part of the standard treatment for Kawasaki disease, along with gamma globulin. However, aspirin should be used with caution and under medical supervision, as it can cause Reye’s syndrome in children with viral infections.
Correct Answer is C
Explanation
This is because self-monitoring of blood glucose allows children to learn how their blood sugar levels change in response to different factors such as food, exercise, stress, and medication.
It also helps them to adjust their insulin doses and dietary intake accordingly. Self-monitoring of blood glucose can improve glycemic control and reduce the risk of complications.
Choice A is wrong because it is not a less expensive method of testing.
Self-monitoring of blood glucose requires a glucose meter, test strips, lancets, and a logbook, which can be costly for some families.
Choice B is wrong because it is not less accurate than laboratory testing.
Self-monitoring of blood glucose can provide accurate and reliable results if done correctly and regularly.
Laboratory testing is usually done periodically to measure the average blood sugar level over the past 2 to 3 months (hemoglobin A1c).
Choice D is wrong because it implies that the parents are not involved in the child’s diabetes management.
Parents should still provide support and guidance to their children with diabetes, especially when they are young or newly diagnosed. Parents should also monitor their child’s blood glucose levels and help them with insulin administration if needed.
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