5 CHD HESI RN CASE STUDY PEDI CONGENITAL HEART DISEASE

1.                          Client Teaching

Timmy has been improving daily and is due to be discharged. The nurse is completing the discharge teaching.

2.                        

Which statement by Joan indicates that the teaching has been effective?

A.                                            "We will be taking Timmy to church every Sunday to thank God that he is all right."

Timmy's parents should avoid taking him around large crowds for 4 to 6 weeks after his surgery.

B.                                            "We are going to treat Timmy very special to make sure nothing happens to him."

Joan and Thomas should treat Timmy as normally as possible and realize that anything can happen to him no matter how good they are as parents.

C.                                            "We must resume Timmy's regular meal, sleep, and play times as soon

D.                                           "We understand that we should not have any more children, so Timmy will be an only child."

While there is no way to ensure that another child born to Thomas and Joan will not have a VSD, having a child with this defect is not a contraindication to having more children.

Awarded 1.0 points out of 1.0 possible points.

3.                         33.

Which statement by Joan indicates that the teaching has been effective? (Select all that apply.)

A.                                            "We will be taking Timmy to church every Sunday to thank God that he is all right."

Timmy's parents should avoid taking him around large crowds for 4 to 6 weeks after his surgery.

B.                                            "We will use creams or lotions on the surgical incision to prevent scarring."

Creams and lotions should not be used until the incision is completely healed.

C.                                            "We must resume Timmy's regular meal, sleep, and play times as soon

D.                                           "We understand that we should not have any more children, so Timmy will be an only child."

While there is no way to ensure that another child born to Thomas and Joan will not have a VSD, having a child with this defect is not a contraindication to having more children.

E.                                            "Pat the incision dry, but do not rub it until it is completely

1.    Postoperative CareTimmy's surgery is successful, and Joan and Thomas are allowed to visit him in the intensive care unit. The nurse is completing Timmy's shift assessment. His weight is 22 lbs (9.98 kg) and his length is 28 inches (71.1 cm). Timmy's laboratory results are:

o  Hematocrit: 38% o     Hemoglobin: 7 g/dL o White blood cell count: 11.5 cells/mm3 o Glucose: 90 mg/dL

2.                         29.

Which additional assessment data warrants immediate intervention by the nurse?