A school-age child is being discharged after a laparoscopic ...

[abern]

A school-age child is being discharged after a laparoscopic appendectomy. Which discharge teaching does the nurse provide to the child and family?
 
  A.
  Allow activity as the child desires.
  B.
  Call the surgeon for reports of pain.
  C.
  Empty the drains twice a day.
  D.
  Report redness or heat at the incision sites.

Question 2

A nurse is conducting prenatal classes and teaches about common congenital defects. A pregnant woman asks how to prevent Meckel diverticulum, which she had when she was born. What information does the nurse provide to this pregnant woman?
 
  A.
  Adequate intake of folic acid will prevent this condition from developing.
  B.
  Avoid second-hand smoke, pollution, and exposure to heavy metals.
  C.
  Early initiation of breastfeeding after birth is a preventative measure.
  D.
  This condition is not preventable, but good prenatal care is still important.

[phuda]

Answer to Question 1

ANS: D
Discharge instructions after appendectomy include monitoring for signs of infection, which include redness and heat at the sites. Activity and eating should be progressive, especially in a younger child who might not have the ability to determine what activity is appropriate postoperatively. After a laparoscopic appendectomy, no drains will be present. Some pain is expected, and parents need teaching on pain management.

Answer to Question 2

ANS: D
There are no preventative measures for Meckel diverticulum, but the nurse should still encourage the woman to maintain good prenatal care.