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

[notis]

What is the nurse's first action when planning to teach the parents of an infant with a CHD?
 
  a. Assess the parents' anxiety level and 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

A patient who has undergone a D&C for early pregnancy loss is likely to be discharged the same day.
 
  The nurse must ensure that vital signs are stable, that bleeding has been controlled, and that the woman has adequately recovered from the administration of anesthesia. In order to promote an optimal recovery, discharge teaching should include (select all that apply) a. Iron supplementation
  b. Resumption of intercourse at 6 weeks post-procedure
  c. Referral to a support group if necessary
  d. Expectation of heavy bleeding for at least 2 weeks
  e. Emphasizing the need for rest

[JaynaD87]

Answer to Question 1

A
Feedback
A Any effort to organize the right environment, plan, or literature is of no use if the
parents are not ready to learn or have high anxiety. Decreasing level of anxiety is
often needed before new information can be processed.
B A baseline assessment of prior knowledge should be taken into consideration
before developing any teaching plan.
C Locating a quiet place for meeting with parents is appropriate; however, an
assessment should be done before any teaching is done.
D Discussing a teaching plan with the nursing team is appropriate after an
assessment of the parents' knowledge and readiness.

Answer to Question 2

A, C, E
Feedback
Correct The woman should be advised to consume a diet high in iron and protein.
For many women, iron supplementation also is necessary. Acknowledge
that the patient has experienced a loss, albeit early. She can be taught to
expect mood swings and possibly depression. Referral to a support group,
clergy, or professional counseling may be necessary. Discharge teaching
should emphasize the need for rest.
Incorrect Nothing should be placed in the vagina for 2 weeks postprocedure. This
includes tampons and vaginal intercourse. The purpose of this
recommendation is to prevent infection. Should infection occur, antibiotics
may be prescribed. The patient should expect a scant, dark discharge for 1
to 2 weeks. Should heavy, profuse, or bright bleeding occur she should be
instructed to contact her provider.

[notis]

Thank you

[JaynaD87]

No problemo