The parents of a 9-month-old child who has been diagnosed with coarctation of the aorta are anxious to have the defect repaired quickly. The nurse's best response will be based on the knowledge that:
a. The repair can be done when the child has tripled the birth weight
b. The repair will be done in stages over a period of several months
c. Repair at such an early age will almost assure recurrence
d. Surgical repair is the only option
C
Repair of a coarctation is best done between 3 and 6 years of age. Repair done earlier than that presents a high rate of recurrence. Surgery can be delayed by using an aortic balloon to open the aorta.
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A client is to undergo surgery for the creation of a continent ileostomy. Which statement by the client indicates successful teaching?
A) "I'll need to empty the appliance more frequently." B) "I'll need to learn how to empty the reservoir several times a day." C) "My stool will be loose initially but then become formed in a week or so." D) "I'll just push on the valve and the drainage will flow out easily."
Concerning lab tests and diagnostic tests in the hospital after birth, nurses should be aware that:
1. all states test for phenylketonuria (PKU), hypothyroidism, cystic fibrosis, and sickle cell disease. 2. federal law prohibits newborn genetic testing without parental consent. 3. if genetic screening was done before the infant was 24 hours old, it should be re-peated at age 1 to 2 weeks. 4. hearing screening is now mandated by federal law.
The nurse is providing an education session to an adult community group about the effects of smoking. Which of the following is the most important point to be included in the educational session?
a. Smoke from tobacco products clings to your clothing and hair. b. Smoking affects the cilia lining the upper airways in the lungs. c. Smoking tobacco products can be very expensive. d. Smoking can affect the color of the patient's fingernails.
The community-based nurse is caring for a patient who is home bound by arthritis and chronic lung problems
The patient, however, receives many visitors from the neighborhood and from former coworkers, as well as frequent phone calls from extended family. When concerned about how the large number of visitors may be fatiguing the patient, the nurse should a. Restrict the number of visitors for the patient's welfare. b. Voice concerns to the patient and proceed according to the patient's wishes. c. Allow visitors to come and go freely as they have been. d. Create visiting hours when the patient may see non–family members.