Exhibits

What should the nurse include in post discharge care education? Select all that apply.

Give only clear liquids for several days

Avoid any kind of bath or shower

Monitor for fever

Keep a pressure dressing on the site for one week

The child may take ibuprofen for pain

Alert the physician if the site bleeds or swells.

Answer and Explanation

Correct Answer : C,E,F

A. Typically, there is no need to restrict a child to clear liquids for several days post-cardiac catheterization unless specified by the physician.
B. Bathing should be avoided if the catheterization was done through the groin, but showers are usually permitted after 24 hours, provided the water does not directly hit the incision site.
C. Monitoring for fever is important as it can be a sign of infection.
D. A pressure dressing is usually kept on the site for the first few hours post-procedure, not for an entire week.
E. Ibuprofen can be given for pain, but it's important to follow the physician's advice regarding dosage and frequency.
F. It is crucial to alert the physician if the site bleeds or swells as this could indicate a complication from the procedure.

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Correct Answer is D

Explanation

A. Observing body language and movement can provide valuable information about pain, but it doesn't directly assess the quality of the pain. It's more indicative of the client's physical response to pain rather than the pain itself.
B. Identifying effective pain relief measures is important for pain management but doesn't directly assess the quality of the pain. This approach focuses on interventions rather than understanding the nature of the pain.
C. Providing a numeric pain scale can quantify the intensity of pain, but it doesn't necessarily assess the quality of the pain. While useful for tracking pain levels over time, it doesn't provide insights into the characteristics or nature of the pain.
D. Asking the client to describe the pain allows for a subjective assessment of its quality,
intensity, duration, and any associated symptoms. This approach provides valuable information for tailoring pain management strategies and understanding the client's experience.

A. I can show my child a movie or read him a book during the procedure. B. The echocardiogram is a painful procedure. C. Echocardiography uses soundwaves to produce images. D. The echocardiogram will produce an image of the structure of the heart.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

I can show my child a movie or read him a book during the procedure.

Correct Answer: Understanding

Rationale: Echocardiograms are non-invasive and do not require the patient to remain still, so activities like watching a movie or reading a book can be comforting and are often encouraged to help the child stay calm during the procedure.

The echocardiogram is a painful procedure.

Correct Answer: No understanding

Rationale: Echocardiograms are painless tests that use ultrasound (sound waves) to capture images of the heart. It involves no needles or incisions, and there should be no pain associated with the procedure itself.

Echocardiography uses soundwaves to produce images.

Correct Answer: Understanding

Rationale: Echocardiography, indeed, uses high-frequency sound waves to create detailed images of the heart and its structures, allowing for the assessment of heart function and the detection of abnormalities.

The echocardiogram will produce an image of the structure of the heart.

Correct Answer: Understanding

Rationale: The primary purpose of an echocardiogram is to provide a visual representation of the heart's structure and function, including the chambers, valves, and major blood vessels, to aid in diagnosis and monitoring of heart conditions.

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Exhibits What should the nurse include in post discharge care education? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for an older adult client with a history of osteoarthritis who is having difficulty walking because of increased right knee pain. To assess the quality of the client's knee pain, which approach should the nurse use?

Correct Answer is D

Explanation

Exhibits After the physician orders the echocardiogram, the nurse provides education to the parents on the procedure. For each statement, click to indicate whether the statement by the parents indicate understanding or no understanding. Each row must have only one response option selected.

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}

Explanation

A client presents to the emergency department (ED reporting abdominal pain. The nurse observes the client's right cheek and eye are bruised and suspects possible domestic violence. Which approach is best for the nurse to use when interviewing the client?

A client diagnosed with pancreatitis is reporting severe epigastric pain and intense nausea. After the nurse administers a narcotic analgesic and an antiemetic, the client insists on sitting up and leaning forward. Which action should the nurse implement?

Exhibits Based on the results of the echocardiogram, the physician has decided to repair the ventricular septal via cardiac catheterization. What should the nurse's focused assessment include before the cardiac catheterization? Select all that apply.

A client with bladder cancer had surgical placement of a ureteroileostomy (ileal conduit) yesterday. Which postoperative assessment finding should the nurse report to the healthcare provider immediately?

A parent asked the nurse how to care for their 4-year-old child after receiving the Haemophilus influenzae type b (Hib) conjugate vaccine. Which instruction should the nurse provide?

The parent of a child born with a myelomeningocele asks the nurse, "What did I do to deserve this?" Which response is most helpful?

Exhibits

What should the nurse include in post discharge care education? Select all that apply.