Which of the following should be included in the instructions to an active adolescent who is going home after an outpatient cardiac catheterization?
Leave the pressure dressing on for 7 days
Maintain strict bed rest for three days.
Avoid tub baths, but may shower in the morning
Stay home from school until the Band-Aid is removed
The Correct Answer is C
A. The pressure dressing is usually removed within 24 hours, not left on for 7 days. Extended dressing use may increase the risk of skin irritation or infection.
B. Strict bed rest is typically recommended for a few hours after the procedure, not for three days. Most adolescents can resume light activity within 24 hours.
C. After a cardiac catheterization, tub baths should be avoided for 2–3 days to prevent infection at the insertion site, but showering is generally safe the next day, provided the site is protected and not scrubbed.
D. Returning to school is typically permitted within 1 to 2 days after the procedure, depending on the child’s condition and physician recommendations—Band-Aid removal is not a relevant factor in determining return to school.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The Oucher scale is a self-report pain scale appropriate for children 3 years and older who can point to a face that matches their pain intensity.
B. The FACES scale also relies on self-report and is best suited for children 3 years and older.
C. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is an observational pain assessment tool used for infants and young children who are unable to verbalize their pain, such as a 6-month-old.
D. The Visual Analog Scale requires the child to mark a point on a line to indicate pain intensity and is appropriate for older children and adults.
Correct Answer is B
Explanation
A. Physical abuse typically presents with visible signs of injury, inconsistent explanations for trauma, or fearfulness around caregivers. While abuse may coexist, the pattern here involves medical fabrication rather than physical harm.
B. Munchausen by proxy (also known as factitious disorder imposed on another) occurs when a caregiver—usually a parent—exaggerates, fabricates, or induces illness in a child to gain attention or sympathy. The repeated vague complaints, specialist seeking, and now unconscious presentation strongly raise this concern.
C. Severe organic failure to thrive results from an underlying physical condition affecting growth and development, not from caregiver behavior. It also doesn't typically include extensive medical seeking behavior for vague, shifting symptoms.
D. Ingestion of a toxin is possible in any unconscious child, but in this context, without clear evidence of accidental exposure, it may actually be a result of the caregiver's actions in Munchausen by proxy. Thus, it is a potential symptom, not the root concern.
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