An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least 2 years. Which of the following would be included in discharge teaching for this child? The child should:
1. Maintain normal activity.
2. Be placed on bedrest.
3. Not be given antipyretics.
4. Have a low-grade fever until the defect is repaired.
1
Rationale:
1. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment.
2. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Bedrest would not be recommended.
3. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Fevers are treated with antipyretics, so that dehydration is avoided.
4. A child with a mild cyanotic heart defect should be treated as normally as possible, without activity adjustment. Low-grade fever is not a normal finding in a child with a mild cyanotic heart defect, and could be a sign of infective endocarditis.
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