A nurse is discharging a child who has undergone a cardiac catheterization from a pediatric unit. Which of the following statements by the parent indicates an understanding of the discharge instructions?

"I will keep the dressing on the insertion site for at least 48 hours."

"I will check the insertion site for any signs of infection or bleeding."

"I will let my child resume normal activities and exercise right away."

"I will give my child aspirin or ibuprofen for pain relief."

Answer and Explanation

The Correct Answer is B

Choice A reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the wound care instructions. The dressing on the insertion site should be removed after 24 hours and replaced with a band-aid.

Choice B reason: This statement by the parent indicates an understanding of the discharge instructions, as it shows awareness of how to monitor and prevent complications such as infection or hemorrhage.

Choice C reason: This statement by the parent indicates a need for further teaching, as it shows a lack of understanding of the activity restrictions. The child should avoid strenuous activities and exercise for at least one week or until cleared by the physician.

Choice D reason: This statement by the parent indicates a need for further teaching, as it shows a misunderstanding of the pain management instructions. The child should not take aspirin or ibuprofen, as they can increase the risk of bleeding. The child should take acetaminophen or other prescribed medications for pain relief.

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

Explanation

Choice A reason: The infant's immunization status is important information to obtain, as it may indicate the risk of vaccine-preventable diseases or adverse reactions to vaccines.

Choice B reason: The infant's birth weight and length are not relevant information to obtain, as they do not reflect the current growth and development of the infant.

Choice C reason: The infant's feeding and sleeping patterns are important information to obtain, as they may indicate nutritional status, growth rate, comfort level, and potential problems such as reflux, colic, or sleep apnea.

Choice D reason: The infant's developmental milestones are important information to obtain, as they may indicate normal or abnormal development, cognitive abilities, motor skills, and social-emotional functioning.

Choice E reason: The infant's family history of allergies is important information to obtain, as it may indicate genetic predisposition or environmental triggers for allergic reactions or asthma.

A. The child's name, age, diagnosis, and allergies B. The child's vital signs, oxygen saturation, and pain score C. The child's medication history, current medications, and IV fluids D. The child's family situation, coping skills, and emotional needs

Correct Answer is B

Explanation

Choice A reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the transfer form.

Choice B reason: This information is the most important for the nurse to communicate during the handoff report, as it reflects the current clinical status and stability of the child. It may also indicate any changes or interventions that are needed in the ICU.

Choice C reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be already available in the electronic health record or the medication administration record.

Choice D reason: This information is important but not the most important for the nurse to communicate during the handoff report. It may be more relevant for the psychosocial assessment and support of the child and family in the ICU.

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A nurse is discharging a child who has undergone a cardiac catheterization from a pediatric unit. Which of the following statements by the parent indicates an understanding of the discharge instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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