Which of the following would indicate that the parents of a child recovering from surgery to repair a congenital heart defect understand discharge instructions provided by the nurse?

1. The client will need to take antibiotics prior to having dental surgery.
2. The client should be restricted in play and activity for at least 6 months.
3. Fluids should be restricted to maximize lung function.
4. The client should not return to normal activities for at least 2 years.


1. The client will need to take antibiotics prior to having dental surgery.

Rationale:
Since the child is at risk for infective endocarditis, prophylactic antibiotics are indicated for invasive procedures. The child should not be restricted in play and activities for at least 6 months. The child should not restrict fluids. The parents should be encouraged to have the child live a normal life and not be restricted for 2 years.

Nursing

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The client who experiences seizures is being discharged to home. The nurse should emphasize to the client and family the importance of monitoring the client for:

1. side effects like altered respiratory function from seizure medications. 2. providing safety measures when the client is taking a walk. 3. monitoring the client's eating habits. 4. protecting the client from infection.

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The leadership team for a multisystem healthcare organization learns that Medicare reimbursement will be 10% lower for the next quarter. Which data should the team analyze to determine the reason for this decline in reimbursement? Select all that apply.

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Nursing

A patient prescribed amiodarone (Cordarone) tells the nurse that his scrotum is swollen and painful. What is the nurse's best action?

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Nursing