Try Naxlex NCLEX-RN (Free-Trial)

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.".

Answer and Explanation

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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale:

Placing the infant on her left side with a pillow supporting her back after feeding is appropriate as it prevents aspiration and reflux due to gravity.

Choice B rationale:

Covering the cast with a towel to prevent accidental soiling is a sensible action, ensuring the cast remains clean and dry.

Choice C rationale:

The mother using the football hold to position the infant securely to one side might hinder the cast's stability and could potentially cause discomfort or displacement.

Choice D rationale:

Supporting both the infant's head and cast when leaning her forward for burping is essential to maintain the cast's integrity and to prevent strain on the infant's body.

A. "I'll add the medication to two ounces of diluted orange juice.". B. "I'll be sure that my child has had something to eat or drink during the hour before I give the medication.". C. "As long as my child's pulse is over forty, I'll give the medication.". D. "I'll give the medication from the calibrated dropper I use to measure the medication.".

Correct Answer is B

Explanation

Choice A rationale:

Adding medication to orange juice is not recommended for digoxin administration. This can affect the drug's absorption and potency due to interactions with food components.

Choice B rationale:

Ensuring the child has had food or drink before giving the medication is crucial for digoxin administration. Food in the stomach can help mitigate gastrointestinal irritation and enhance drug absorption.

Choice C rationale:

A pulse over forty is too low for digoxin administration. The typical guideline is usually a pulse rate over 60 in pediatric patients before administering digoxin.

Choice D rationale:

Using a calibrated dropper for medication administration is not the standard method for digoxin. Precision in dosing is essential for this drug, and using a calibrated oral syringe or dropper is recommended to accurately measure the dose.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 6-month-old patient with a plaster spica cast is being breastfed by her mother. Which action by the mother should the nurse question?

Correct Answer is C

Explanation

The nurse is preparing a patient for discharge and teaching the parents about the home use of digoxin. Which statement by the mother would indicate a good understanding of the instructions?

Correct Answer is B

Explanation

A nurse is caring for a 3-year-old patient. Which behavior is developmentally appropriate for this patient?

A nurse is caring for a client with a plaster hip spica cast. What measure would best protect the cast from being soiled by urine and feces?

A patient is started on prednisone therapy. Which of these goals should be given priority in the patient's plan of care?

A 3-year-old patient who is admitted to the hospital for the treatment of a skull fracture has clear liquid draining from his nose. In consideration of the patient's injury, which action should the nurse take initially?

A patient is to be discharged in a plaster spica cast. Which statement would indicate the need for further teaching with the patient's parent?

Which statement indicates a child's family needs further instruction about the postoperative care following a pyloromyotomy?

What information should a nurse plan to give the parents of a child recently diagnosed with autism spectrum disorder?

When admitting a 4-year-old patient to the hospital, the nurse learns that the child was exposed to chicken pox three days ago. Which understanding about chicken pox should the nurse consider during room assignment?