Patient Data
The client is to be discharged.
Click to indicate which statements by the client's parent indicate an understanding of discharge teaching and which statements do not indicate an understanding. Each row must have one response option selected.
"I will stop the antibiotics when my child's temperature is below 100.6° F (38.1° C) orally."
"I should weigh my child weekly and watch for weight gain."
"It is ok if my child develops a non-productive cough."
"I will check my child's skin for dryness and cracking."
The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"B"},"D":{"answers":"A"}}
- "I will stop the antibiotics when my child's temperature is below 100.6° F (38.1° C) orally.": Lack of understanding. Antibiotics must be completed as prescribed, even if the child’s fever resolves, to ensure eradication of infection and prevent resistance.
- "I should weigh my child weekly and watch for weight gain.": Understanding. Monitoring weight helps assess hydration, nutrition, and recovery from illness, especially important in children with pneumonia or chronic conditions.
- "It is ok if my child develops a non-productive cough.": Lack of understanding. Any persistent or worsening cough after pneumonia should be reported, as it may indicate complications or incomplete recovery.
- "I will check my child's skin for dryness and cracking.": Understanding. Monitoring skin integrity is important, especially with oxygen therapy and illness that can cause dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
- Periorbital edema: This is a sign of fluid retention due to systemic venous congestion, often seen in right-sided heart failure or generalized heart failure in infants.
- Dyspnea: Difficulty breathing, including rapid respirations and use of accessory muscles, is indicative of pulmonary congestion from left-sided heart failure.
- Diaphoresis: Excessive sweating, particularly during feeding or activity, reflects impaired myocardial function and increased sympathetic activity in response to poor cardiac output.
- Tachycardia: Elevated heart rate is a compensatory response to reduced stroke volume and impaired myocardial function.
- Nasal flaring: A classic sign of respiratory distress in infants, indicating pulmonary congestion and hypoxia.
- Decreased urinary output: Reduced perfusion to the kidneys from impaired myocardial function leads to oliguria, reflecting poor cardiac output.
Correct Answer is [{"id":"drop-zone-0-0","answer":"B"},{"id":"drop-zone-0-1","answer":"D"}]
Explanation
Rationale for correct answers:
- Pain: Chest pain (angina) is the heart’s way of signaling "ischemia" (lack of oxygen). By opening the vessel and compressing the plaque, the oxygen supply-demand balance is restored, which directly reduces or eliminates the ischemic pain.
- Dysrhythmias: Heart muscle that is deprived of oxygen becomes "irritable." This electrical instability in the ischemic tissue often leads to dangerous dysrhythmias (abnormal heart rhythms). Restoring blood flow stabilizes the electrical conduction system of the heart.
Rationale for incorrect choices:
- Vasospasms: These are sudden constrictions of the muscular walls of the artery. While medications (like nitroglycerin) treat vasospasms, a mechanical stent is primarily designed to address physical obstructions (plaque) rather than the physiological spasm of the vessel wall.
- Heart Blocks: These are specific delays or interruptions in the electrical signals between the heart's atria and ventricles. While ischemia can cause heart blocks, they are usually managed with pacemakers or by treating the underlying cause, rather than being the primary focus of a standard PCI for plaque compression.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
