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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?

A.

Give the child acetaminophen for discomfort.

B.

Keep the child home for 1 week.

C.

Assist the child to take a tub bath for the first 3 days.

D.

Offer the child clear liquids for the first 24 hours.

Answer and Explanation

The Correct Answer is A

Choice A rationale

 

Giving the child acetaminophen for discomfort is appropriate as it helps manage pain without interfering with the healing process.

 

Choice B rationale

 

Keeping the child home for 1 week is not necessary unless there are specific complications or instructions from the healthcare provider.

 

Choice C rationale

 

Assisting the child to take a tub bath for the first 3 days is not recommended as it may increase the risk of infection at the catheter insertion site.

 

Choice D rationale

 

Offering the child clear liquids for the first 24 hours is not necessary unless there are specific dietary restrictions from the healthcare provider.


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View Related questions

Correct Answer is B

Explanation

Choice A rationale

Chest pain and dyspnea are concerning symptoms but are not the most immediate manifestations to report in a client undergoing radiation therapy for brain cancer. These symptoms could be related to other conditions and require further evaluation.

Choice B rationale

Seizures are the most immediate manifestation to report because they indicate increased intracranial pressure or other neurological complications related to brain cancer and radiation therapy. Seizures require prompt medical intervention to prevent further complications.

Choice C rationale

Hematuria is a concerning symptom but is not the most immediate manifestation to report in this context. It could be related to other conditions and requires further evaluation.

Choice D rationale

Swelling of the extremities is a concerning symptom but is not the most immediate manifestation to report in this context. It could be related to other conditions and requires further evaluation.

Correct Answer is D

Explanation

Choice A rationale

Packed RBCs are used to treat anemia or significant blood loss but are not specifically indicated for hemophilia A.

Choice B rationale

Fresh frozen plasma contains clotting factors but is not the preferred treatment for hemophilia A.

Choice C rationale

Prophylactic antibiotics are used to prevent infection but do not address the clotting deficiency in hemophilia A.

Choice D rationale

Recombinant factor VIII is the treatment of choice for individuals with hemophilia A. It replaces the deficient factor VIII in the blood, promoting clot formation and preventing excessive bleeding during surgical procedures.

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