A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Do not touch stent or dressings

Give tub bath after 48 hours

Maintain fluid restriction

Give anticholinergic medication

Answer and Explanation

The Correct Answer is A

A.   The nurse should avoid manipulating the stent or dressings to prevent dislodging or introducing infection.
B.   Tub baths should be avoided until healing occurs, typically after the wound has been sufficiently healed.
C.   Fluid restriction is not necessary unless prescribed for another condition.
D.   Anticholinergic medications are not indicated unless there is a specific need, such as managing bladder spasms.

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Free Nursing Study Resources

Correct Answer is ["A","C","D"]

Explanation

A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure

A. Tricuspid atresia B. Pulmonic stenosis C. Ventricular Septal Defect D. Transposition of the great arteries

Correct Answer is C

Explanation

A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow

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A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

Correct Answer is C

Explanation

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