The parents of child recovering from surgery to repair ...

[Haya94]

The parents of child recovering from surgery to repair vesicoureteral reflux ask the nurse if they can do anything to help with the care of their child. What should the nurse encourage the parents to do at this time?
 
  A) Help the child with a tub bath.
  B) Bring in games and other diversions to keep the child distracted while on bed rest.
  C) Assist the child out of bed while keeping the drainage bags below the level of the catheter.
  D) Provide hard candy to help with mouth dryness because the child will be on a fluid restriction.

Question 2

The nurse instructs a school-age patient and the parents on continuous cycling peritoneal dialysis. Which statement indicates that teaching has been effective?
 
  A) The solution should be infused cold..
  B) Redness and warmth around the tube insertion site is expected..
  C) We should notify the health care provider if the drainage is cloudy..
  D) Weight gain and a productive cough are expected with the treatments..

[SamMuagrove]

Answer to Question 1

C
Feedback:
Be sure that the child and parents understand the importance of not raising the collection system above the child's bladder level when helping the child out of bed. This helps prevent potentially contaminated urine from flowing from the tubes back into the bladder or ureters. Tub baths are contraindicated until all surgical sites have healed. The child will not be on bed rest so diversional activities are not needed. The child will not be on a fluid restriction so hard candy is not needed to help with mouth dryness.

Answer to Question 2

C
Feedback:
Cloudy drainage could indicate an infection such as peritonitis and should be reported to the health care provider. The solution should be infused at body temperature. Redness and warmth around the tube insertion site could indicate an infection and should be reported to the health care provider. Weight gain and a productive cough could indicate fluid retention and should be reported to the health care provider.

[Haya94]

Thank you

[SamMuagrove]

Happy to help you