Nokea
The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching?
- A. “I should avoid tub baths but may shower.â€
- B. “I have to stay on strict bed rest for 3 days.â€
- C. “I should remove the pressure dressing the day after the procedure.â€
- D. “I may attend school but should avoid exercise for several days.â€
Correct Answer: B
Rationale: The child does not need to be on strict bed rest for 3 days. Showers are recommended; children should avoid a tub bath. The pressure dressing is removed the day after the catheterization and replaced by an adhesive bandage to keep the area clean. Strenuous activity must be avoided for several days, but the child can return to school.
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- B. Carbamazepine
- C. Salbutamol
- D. Metolazone
Correct Answer: A
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- A. Counting the apical rate for 30 seconds before administering the medication
- B. Withholding a dose if the apical heart rate is less than 100 beats/min
- C. Repeating a dose if the child vomits within 30 minutes of the previous dose
- D. Checking respiratory rate and blood pressure before each dose
Correct Answer: B
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A heart transplant may be indicated for a child with severe heart failure and:
- A. Patent ductus arteriosus (PDA)
- B. Ventricular septal defect (VSD)
- C. Hypoplastic left heart syndrome
- D. Pulmonic stenosis (PS)
Correct Answer: C
Rationale: Hypoplastic left heart syndrome is treated by procedures such as the Norwood procedure or heart transplant.
The nurse is teaching a client with glomerulonephritis about self-care. Which dietary recommendations should the nurse encourage the client to follow?
- A. Increase intake of high-fiber foods, such as bran cereal
- B. Restrict protein intake by limiting meats and other high-protein foods
- C. Limit oral fluid intake to 500 ml per day
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Correct Answer: B
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- A. closed surgical blade valvotomy
- B. open surgical valvotomy
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Correct Answer: C
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