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?

Choice A rationale:

Replacing the dressing if bleeding is noted is appropriate as it helps maintain a clean and sterile site post-catheterization.

Choice B rationale:

Positioning the child in a flat-lying position immediately after cardiac catheterization is incorrect. The child should be placed in a specific position, such as semi-Fowler's, to avoid complications and promote comfort.

Choice C rationale:

Monitoring the pulses distal to the site is essential to assess circulation and potential complications after the procedure.

Choice D rationale:

Checking the vital signs every 15 minutes is appropriate post-catheterization to detect any hemodynamic changes or complications.

Choice A rationale:

Expiratory wheezing is characteristic of asthma exacerbation. It indicates airway constriction and narrowing, leading to difficulty in exhaling and resulting in a high-pitched sound during expiration.

Choice B rationale:

Inspiratory crackle is not typically associated with asthma. Crackles are often heard in conditions involving fluid-filled airways, such as pneumonia.

Choice C rationale:

Expiratory grunting is not a common finding in asthma. Grunting sounds may be present in infants with respiratory distress, indicating the difficulty they experience while exhaling.

Choice D rationale:

Inspiratory stridor is not a usual manifestation of asthma. Stridor is more commonly related to upper airway obstruction, often seen in croup or epiglottitis.