A 5-year-old child is being discharged after valve replacement ...

[natalie2426]

A 5-year-old child is being discharged after valve replacement surgery. Which discharge information specific to this child does the nurse provide?
 
  A.
  Be sure to keep all follow-up appointments.
  B.
  Encourage your child to eat a healthy diet.
  C.
  Monitor the chest incision for redness or heat.
  D.
  This valve will need replacement in about 5 years.

Question 2

At a well-child visit, the nurse notes a 4-year-old child to be in the 95th percentile for weight. Which screening measure is most important for the nurse include in this visit?
 
  A.
  Body mass index (BMI)
  B.
  Cholesterol panel
  C.
  Congenital heart disease
  D.
  None; child is too young

[Jordin Calloway]

Answer to Question 1

ANS: D
All options are appropriate for any child with a heart condition or after surgery. The option most specific to this child's condition is informing the parents that as the child grows, the valve will need to be replaced about once every 5 years.

Answer to Question 2

ANS: B
After the age of 2 years, children who meet certain criteria should be screened for hypercholesterolemi a-hyperlipidemia. Criteria include a child who is at the 85 percentile or greater for weight. A BMI can be calculated from the height and weight, but does not screen for other diseases. Congenital heart disease is not related to a heavy weight.