The nurse is preparing to discharge an 18-month-old patient who has been in the hospital for repair of a cleft palate. Which statement is most appropriate for discharge teaching with the patient's mother?
Your child may want to be close to you most of the time for a while.
It would be a good idea to have your child sleep with you in your bed for a week or so after the child goes home.
You may find that your child is much more independent than before hospitalization.
Because of the attention your child has received in the hospital, you may need to set stricter limits than those in place before hospitalization.
The Correct Answer is A
Choice A rationale:
After undergoing cleft palate repair, it's appropriate to inform the mother that her child may want to be close to her most of the time. The child might feel more secure in the presence of their caregiver during the recovery period.
Choice B rationale:
Having the child sleep in the same bed is not typically recommended due to safety concerns, especially after surgery.
Choice C rationale:
Increased independence is not a common immediate response after hospitalization, especially for a young child recovering from surgery.
Choice D rationale:
While attention during hospitalization is important, it wouldn't necessarily translate to the need for stricter limits. Post-hospitalization care should focus on the child's comfort and recovery rather than punitive measures.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Preventing contractures of the hips and knees is not directly related to the care of a pediatric patient with congestive heart failure (CHF). CHF primarily involves impaired cardiac function and fluid retention, not joint contractures.
Choice B rationale:
Minimizing cardiac output would be counterproductive in the care of a patient with CHF. The goal is to optimize cardiac output to meet the body's demands while managing the symptoms of CHF.
Choice C rationale:
Minimizing energy expenditure is a major goal in the care of a pediatric patient with CHF. CHF places an extra workload on the heart, and conserving energy helps prevent additional strain on the heart, allowing it to function more efficiently.
Choice D rationale:
Preventing vomiting is not a specific goal related to the care of a pediatric patient with CHF. Vomiting might be a symptom of CHF, but the primary focus is on managing cardiac function and fluid balance.
Correct Answer is B
Explanation
Choice A rationale:
A blood pressure of 110/68 mmHg is within the normal range for a 14-year-old and does not directly relate to the management of ulcerative colitis.
Choice B rationale:
Ulcerative colitis can lead to chronic inflammation and blood loss in the gastrointestinal tract, resulting in anemia. Monitoring the hemoglobin level is crucial to assess the severity of anemia and the need for interventions.
Choice C rationale:
While weight loss is a concern, hemoglobin level provides more direct information about the impact of ulcerative colitis on the client's health.
Choice D rationale:
Serum sodium level of 135 mEq/L is within the normal range and does not take precedence over addressing potential anemia and its impact on the client's well-being.
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.