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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Have a child life specialist explain the procedure using a doll.
Choice A rationale:
Having a child life specialist explain the procedure using a doll is the best approach for preparing a 4-year-old for a bone marrow aspiration. This method utilizes play therapy to help the child understand the procedure in a developmentally appropriate and non-threatening way.
Choice B rationale:
Giving the client color handouts might not effectively engage a 4-year-old's attention and understanding. Young children often benefit more from interactive and visual methods like using a doll.
Choice C rationale:
Telling the client that other children have had the procedure might not alleviate the child's anxiety or fear. Concrete explanations and visual aids are more effective in reducing anxiety and helping the child cope.
Choice D rationale:
Allowing the patient to watch a video of the procedure on another child could potentially increase anxiety and fear. Children might not fully comprehend the video and could misinterpret it, leading to more distress. Interactive methods are more effective.
Correct Answer is A
Explanation
Choice A rationale:
Monitoring the apical pulse is of the highest priority for a patient with a myelomeningocele preoperatively. A myelomeningocele is a neural tube defect that can lead to neurologic complications. Monitoring the apical pulse every hour helps detect any signs of cardiac distress or neurological compromise, allowing prompt intervention.
Choice B rationale:
Maintaining the patient in a prone position is not the priority in this situation. While positioning can be important, monitoring vital signs takes precedence over positioning.
Choice C rationale:
Providing sensory stimulation is important for the patient's overall well-being, but it's not the highest priority preoperatively. Monitoring vital signs and assessing for potential complications take precedence.
Choice D rationale:
Keeping a strict record of the patient's intake and output is important for general care, but it's not the highest priority in the immediate preoperative period. Monitoring vital signs and detecting signs of distress come first.
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