What should be the nurse's first action when planning to teach ...

[bcretired]

What should be the nurse's first action when planning to teach the parents of an infant with a congenital heart defect?
 
  a. Assess the parents' readiness to learn.
  b. Gather literature for the parents.
  c. Secure a quiet place for teaching.
  d. Discuss the plan with the nursing team.

Question 2

When assessing a child for possible congenital heart defects, where should the nurse measure blood pressure?
 
  a. The right arm
  b. The left arm
  c. All four extremities
  d. Both arms while the child is crying

[chereeb]

Answer to Question 1

A
Any effort to organize the right environment, plan, or literature is of no use if the parents are not ready to learn. A baseline assessment of prior knowledge should be taken into consideration before developing any teaching plan. Locating a quiet place for meeting with parents is appropriate; however, an assessment should be done before any teaching is done. Discussing a teaching plan with the nursing team is appropriate after an assessment of the parents' knowledge and readiness.

Answer to Question 2

C
When a congenital heart defect is suspected, the blood pressure should be measured in all four extremities while the child is quiet. Discrepancies between upper and lower extremities may indicate cardiac disease. Blood pressure measurements when the child is crying are likely to be elevated; thus, the readings will be inaccurate. Blood pressure measurements for upper and lower extremities are compared during an assessment for congenital heart defects.

[bcretired]

Thanks for the timely response, appreciate it

[Liddy]

Great answer, keep it coming