A 10-year-old child is being discharged after surgical repair of ...

[@Brianna17]

A 10-year-old child is being discharged after surgical repair of a total anomalous pulmonary venous return defect (TAPVR). Which referral made by the nurse is most appropriate for this child?
 
  A.
  Hospice team
  B.
  Occupational therapy
  C.
  School nurse
  D.
  Visiting nurse

Question 2

A child is being released from the hospital after surgical correction of an atrioventricular canal defect (AVC). What referral by the nurse is most appropriate?
 
  A.
  Down syndrome support group
  B.
  Hospice services team
  C.
  Lions eye bank
  D.
  Transplant team

[IRincones]

Answer to Question 1

ANS: C
After a TAPVR repair, most children go on to live full and normal lives. Because this child will return to school, communication with the school nurse is appropriate. Hospice, visiting nurses, and occupational therapy are not warranted.

Answer to Question 2

ANS: A
Up to 75 of cases of AVC occur in children with Down syndrome, so this is the most appropriate referral if this is the case for this child. There is no information in the stem of the question to indicate that the child is terminally ill; the Lions eye bank is unrelated to this condition, and the child is probably not a candidate for a heart transplant because these defects can be repaired surgically.

[@Brianna17]

Excellent

[DylanD1323]

TYSM