A 2-day-old infant suspected of having an atrioventricular canal defect is scheduled for a cardiac catheterization in two hours. Prior to the cardiac catheterization, the caregiver makes several statements to the nurse. Which statement by the mother would indicate a need for further education?
"I am glad my child can take a pacifier along.".
"I can feed my child before the procedure.".
"I won't bathe my child until tomorrow.".
"I should count wet diapers afterwards.".
The Correct Answer is C
Choice A rationale:
Allowing a pacifier is appropriate and unrelated to the procedure.
Choice B rationale:
Feeding before the procedure helps prevent dehydration and maintains the infant's well-being.
Choice C rationale:
Bathing immediately after the procedure can introduce infection risk through the catheterization site. Waiting a day is advisable.
Choice D rationale:
Counting wet diapers helps monitor hydration post-procedure; it's a valid concern. In each case, the correct choices were determined by logical reasoning and adherence to medical guidelines. It's important for healthcare providers to educate patients and caregivers to ensure the best outcomes for patients' health and well-being.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Assessing the infant's ability to roll over is unrelated to the situation. The nurse's focus should be on safely retrieving the nasogastric tube without leaving the infant alone.
Choice B rationale:
Using a nesting pillow is not appropriate in this scenario. The nurse should prioritize getting the nasogastric tube rather than introducing unnecessary items into the crib.
Choice C rationale:
Putting the side rail all the way up might hinder the nurse's ability to access the counter and the nasogastric tube. It is not the most effective action in this situation.
Choice D rationale:
Calling for assistance ensures that the infant's safety is maintained while the nurse retrieves the nasogastric tube. Leaving the infant unattended increases the risk of harm, so involving someone else is the appropriate action.
Correct Answer is C
Explanation
Choice A rationale:
While maintaining a moist oral mucosa is important, preventing infection takes precedence, as infections can lead to serious complications and compromise overall health.
Choice B rationale:
Increasing physical mobility is a valid goal, but infection prevention is more critical, especially when starting prednisone therapy, which can weaken the immune response.
Choice C rationale:
The priority lies in keeping the patient free of infection. Prednisone can suppress the immune system, making the patient more susceptible to infections that can have severe consequences.
Choice D rationale:
Ingesting a moderate potassium diet is important, but the prevention of infection takes precedence due to the potential for serious health risks associated with compromised immunity.
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