A nurse is providing discharge teaching for the guardian of a school-age child following a cardiac catheterization. Which of the following instructions should the nurse include in the teaching?

"Your child can take a tub bath this evening."

"You should give your child a clear liquid diet for 24 hr."

"You should remove your child's pressure dressing tomorrow."

"Your child should stay out of school for 7 days following the procedure."

Answer and Explanation

The Correct Answer is C

A.   To prevent infection and ensure proper healing, it's usually advised to avoid submerging the catheterization site in water until it has adequately healed.

B.   There is generally no need for a special diet such as a clear liquid diet following cardiac catheterization unless specified for other reasons.
C.   Following cardiac catheterization, it's important to keep the pressure dressing in place to ensure proper healing and prevent bleeding from the catheterization site. Typically, the dressing is removed the next day under safe, controlled conditions.
D.   Typically, children can return to school within a few days after cardiac catheterization unless complications arise or there are other specific medical advisories.

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Correct Answer is []

Explanation

Condition Most Likely Experiencing:

The client's admission to the behavioral health unit for prolonged weight loss and refusal to eat suggests a significant disordered eating pattern. The client's weight of 37.2 kg (82 lb) and BMI of 15 fall significantly below the healthy range for their height, indicating severe underweight status characteristic of anorexia nervosa. The client's behaviors during meal times, such as pushing food around the plate, eating only a small percentage of meals and snacks, and expressing anxiety about eating in front of others, are consistent with the restrictive eating patterns and fear of weight gain seen in anorexia nervosa.

Physical signs such as dry and flaky skin, dry and chapped lips, thin and dull hair, dry buccal mucosa, diminished bowel sounds, swollen and bloated abdomen, and lanugo (fine, downy hair) are commonly associated with anorexia nervosa due to malnutrition and starvation. The client's reported feelings of depression, initiation of dieting due to feeling fat compared to others, and cessation of menstrual cycles for the past 3 months are all indicative of the psychological and emotional distress often seen in individuals with anorexia nervosa.

Actions to take:

Clients with anorexia nervosa often benefit from a structured meal plan to promote regular eating habits and prevent skipping meals.

Focusing on the client’s underlying feelings of dysphoria and lack of control can help the client develop a more positive self-image and cope with emotional stressors that may trigger their eating disorder.

Parameters to monitor:

Monitoring weight is essential in assessing nutritional status and tracking changes in body composition, especially in clients with anorexia nervosa who may experience rapid weight loss.

Cardiac function with ECG can help the nurse detect any signs of cardiac arrhythmias, bradycardia, hypotension, or electrolyte imbalances that may result from severe malnutrition and dehydration.

A. Apply petroleum jelly to soothe the mucous membranes. B. Clean the equipment with an alcohol-based cleaning product. C. Avoid using nail polish remover around the client. D. Use synthetic fabrics for the client's bedding.

Correct Answer is C

Explanation

A. Petroleum jelly is a petroleum-based product and can be a fire hazard when used with oxygen therapy. Water-based lubricants are recommended instead.
B. Alcohol is flammable, so it's better to avoid alcohol-based cleaners near oxygen therapy equipment.
C. Nail polish remover typically contains acetone, which is highly flammable. Since oxygen therapy increases the risk of fires, it is essential to avoid flammable substances around the client.
D. Synthetic fabrics can generate static electricity and should be avoided around oxygen. Cotton is preferable because it is less likely to produce static.

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A nurse is providing discharge teaching for the guardian of a school-age child following a cardiac catheterization. Which of the following instructions should the nurse include in the teaching?

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