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 D

Explanation

Choice A reason: This statement by the child indicates a partial understanding of the discharge instructions, as it shows awareness of the importance of blood glucose monitoring for diabetes mellitus. However, the child may also need to check his or her blood sugar level at other times, such as before bedtime, before exercise, or when sick.

Choice B reason: This statement by the child indicates a need for further teaching, as it shows a misunderstanding of the proper technique for insulin administration for diabetes mellitus. The child should rotate the injection sites to prevent lipodystrophy, a condition that causes lumps or dents in the skin.

Choice C reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the importance of dietary management for diabetes mellitus. The child should follow a balanced and consistent carbohydrate diet that matches the insulin dose and activity level.

Choice D reason: This statement by the child indicates an understanding of the discharge instructions, as it shows awareness of the signs and symptoms of hyperglycemia, a condition that occurs when the blood sugar level is too high and can lead to diabetic ketoacidosis, a serious complication of diabetes mellitus.

A. "I can go back to school tomorrow and play with my friends." B. "I have to take this medicine three times a day until it is finished." C. "I can eat whatever I want as long as it does not hurt my stomach." D. "I have to keep this bandage on until my stitches come out."

Correct Answer is B

Explanation

Choice A reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may be too soon to resume normal activities and socialization. The child may need to rest and recover for a few days or weeks, depending on the healing process and the physician's advice.

Choice B reason: This statement by the child would indicate that he or she understands the discharge instructions, as it shows compliance with the prescribed medication regimen. The child may need to take antibiotics or pain relievers to prevent infection or manage pain.

Choice C reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the dietary restrictions or recommendations after an appendectomy. The child may need to avoid spicy, fatty, or high-fiber foods and drink plenty of fluids to promote bowel function and healing.

Choice D reason: This statement by the child would indicate that he or she does not understand the discharge instructions, as it may not reflect the wound care or dressing changes after an appendectomy. The child may need to keep the incision site clean and dry, change the bandage as instructed, and report any signs of infection or bleeding.

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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

A nurse is discharging a child who has diabetes mellitus from a pediatric unit. What statement by the child indicates that he or she understands the discharge instructions?

Correct Answer is D

Explanation

A nurse is preparing to discharge a 10-year-old child from the pediatric unit after an appendectomy. What statement by the child would indicate that he or she understands the discharge instructions?

Correct Answer is B

Explanation

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