The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery:
1. Should not receive routine immunizations.
2. Should be restricted from most play activities.
3. Can be expected to have a fever for several weeks following the surgery.
4. Should receive prophylactic antibiotics for any dental, oral, or upper respiratory tract procedures.
4
Rationale 1: Immunizations should be provided according to the schedule.
Rationale 2: The child should live a normal and active life following repair of a cardiac defect.
Rationale 3: Fever is not expected for a prolonged period after surgery, and any unexplained fever should be reported.
Rationale 4: Parents should be taught that the child should receive prophylactic antibiotics to prevent endocarditis.
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