Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

Prepare for seizures.

Expect the skin to turn yellow.

Encourage progressive activity.

Prevent dehydration

Answer and Explanation

The Correct Answer is D

A. Seizures are not a typical complication of polycythemia, though they may occur if the condition progresses to severe levels of blood viscosity.

B. Yellowing of the skin (jaundice) is not associated with polycythemia but with liver conditions.

C. While activity is important, preventing dehydration is more critical in managing polycythemia because dehydration increases blood viscosity, exacerbating the condition.

D. Preventing dehydration is essential as it helps maintain adequate blood flow and reduces the risk of thrombotic events in a child with polycythemia.

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Correct Answer is A

Explanation

A. Acetaminophen is appropriate for managing mild discomfort post-procedure.

B. Tub baths are generally avoided for the first few days to prevent infection at the catheterization site; sponge baths are preferred.

C. Keeping the child home for 1 week might be excessive; follow the healthcare provider's specific instructions regarding activity and school return.

D. Clear liquids are typically offered as tolerated, but the primary concern post-procedure is monitoring the insertion site and ensuring the child rests adequately.

A. Take glyburide with breakfast. B. Inject insulin in the deltoid muscle. C. Obtain an influenza vaccine annually. D. Administer glucagon for hyperglycemia.

Correct Answer is C

Explanation

A. Glyburide is an oral hypoglycemic agent used for type 2 diabetes, not type 1 diabetes, which requires insulin therapy.

B. Insulin should be injected into the subcutaneous tissue, typically in areas such as the abdomen or thighs, not the deltoid muscle.

C. Annual influenza vaccination is important for adolescents with type 1 diabetes to prevent infections that can affect blood glucose control.

D. Glucagon is used to treat severe hypoglycemia, not hyperglycemia. For hyperglycemia, insulin adjustments are necessary.

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Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

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Naxlex Comprehensive Predictor Exams

A nurse is providing discharge instructions to the parent of a 10-year-old child following a cardiac catheterization. Which of the following instructions should the nurse include?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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