This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit. The nurse educates the parents on post-discharge care for the child.

What should the nurse include in post-discharge care education? Select all that apply.

Keep a pressure dressing on the site for one week

The child may take ibuprofen for pain

Alert the physician if the site bleeds or swells

Give only clear liquids for several days

Avoid any kind of bath or shower

Monitor for fever

Answer and Explanation

Correct Answer : C,F

In post-discharge care education for a 3-year-old with a history of ventricular septal defect, the nurse should include the following:

C. Alert the physician if the site bleeds or swells: This is important because it may indicate complications or issues related to the ventricular septal defect.

F. Monitor for fever: Fever can be a sign of infection or other concerns, so it's important to monitor for any changes in the child's temperature.

The other options are not applicable or advisable for post-discharge care in this context:

A. Keeping a pressure dressing on the site for one week is not typically necessary for ventricular septal defect and may not be appropriate for a 3-year-old.

B. Giving ibuprofen for pain is not relevant in this context, as pain management for ventricular septal defect is not typically managed with ibuprofen.

D. Giving only clear liquids for several days is not indicated for ventricular septal defect or post-discharge care.

E. Avoiding any kind of bath or shower is not a standard practice for post-discharge care for a child with a ventricular septal defect.

The focus should be on monitoring for signs of complications, such as bleeding, swelling, or fever, and seeking medical attention when necessary.

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Correct Answer is B

Explanation

The most important information for the nurse to provide to the mother of an 11-year-old boy with juvenile idiopathic arthritis is B.

Explanation:

A. Encouraging quiet activities such as watching television as a pain distracter can be helpful, but it should be used in conjunction with appropriate pain management strategies.

B Giving pain medication around the clock helps control the pain.

Children with juvenile idiopathic arthritis often experience chronic pain and inflammation. It's important for the mother to understand that, in some cases, simply taking pain medication when the child is in severe pain may not be the most effective approach. Pain management in chronic conditions like arthritis typically involves a more proactive and regular approach.

C. While hot baths can be soothing and offer some pain relief, they may not provide sufficient pain control for chronic conditions like juvenile idiopathic arthritis. Using hot baths can be a complementary approach but may not replace the need for pain medication.

D. Encouraging the child to rest when experiencing pain is important, but it should also be combined with appropriate pain management. Rest alone may not provide adequate pain relief for a child with arthritis.

The key information here is that giving pain medication around the clock, under the guidance of a healthcare provider, can help provide continuous pain control and improve the child's quality of life. Parents should work closely with the healthcare team to develop a comprehensive pain management plan that may include a combination of medications, physical therapy, and lifestyle modifications.

A. Edema B. Irritability C. Fatigue D. Dry skin E. Intense thirst F. Muscle weakness G. Hypertension

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

Explanation

A. Edema can be a symptom to watch for, as it may indicate fluid retention or imbalance, especially in a client who has received intravenous fluids.

D. Dry skin may be a symptom to observe, as it could suggest dehydration or fluid imbalances.

E. Intense thirst is a symptom to be alert for, as it may be an indication of dehydration or an electrolyte imbalance.

F. Muscle weakness is a potential symptom to monitor for, as it could be related to electrolyte imbalances or other complications following surgery and injury.

B, C, and G are not the primary symptoms to expect based on the client's information and history, but they should still be monitored as part of routine assessment. Irritability and fatigue can be nonspecific symptoms that may occur in various clinical situations. Hypertension may or may not be a symptom, and it is essential to assess the client's blood pressure in the context of their overall condition.

The client's history and the presence of medical devices and surgical intervention indicate the need for close monitoring of fluid balance and electrolyte status.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The mother of an 11-year-old boy who has juvenile idiopathic arthritis tells the nurse, "I really don't want my son to become dependent on pain medication, so I only allow him to take it when he is really hurting." Which information is most important for the nurse to provide this mother?

Correct Answer is B

Explanation

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

Explanation

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

An infant born 2 days ago has not passed a meconium stool and begins to vomit bilious secretions. Which action should the nurse take first?

The nurse is assessing the lung sounds of a preschooler. Which action should the nurse Implement to ensure the child's cooperation?

The nurse is providing nutrition education to the parents of an infant with failure to thrive (FTT). Which statement made by the parent should the nurse recognize as an appropriate understanding of interventions?

A 10-year-old boy has been seen frequently by the school nurse over the past three weeks after school begins in the fall. He reports headaches, stomach aches, and difficulty sleeping. Which intervention should the nurse implement?