A child is being discharged from an ambulatory care center after an inguinal hernia repair. Which discharge interventions should the nurse implement? (Select all that apply.)

Correct Answer: A

Rationale: In this scenario, the correct intervention is option A) Discuss dietary restrictions. This is important because after inguinal hernia repair, the child may need to follow specific dietary guidelines to prevent constipation or straining, which can increase the risk of hernia recurrence or complications. Option B) Hold any analgesic medications until the child is home is incorrect because pain management is crucial post-operatively, and it is not advisable to delay pain relief. Option C) Send a pain scale home with the family is not as essential as discussing dietary restrictions in this situation. While pain assessment is important, providing clear instructions on diet takes precedence. Option D) Suggest the parents fill the prescriptions on the way home is not the most critical intervention at discharge. While it is important for the child to have access to prescribed medications, ensuring the family understands and can follow dietary restrictions is more immediate for the child's recovery. Educationally, this question highlights the significance of post-operative care and patient education in pediatric pharmacology. Nurses need to prioritize interventions based on the child's immediate needs and potential risks following a surgical procedure, emphasizing the importance of clear communication and patient-centered care in pediatric practice.

Correct Answer: A

Rationale: Isotretinoin (Accutane) is a potent medication used for severe acne that has not responded to other treatments, such as topical medications or antibiotics. It is typically considered as a last resort due to its potential side effects and risks. Adolescents with resistant, severe acne who have not seen improvement with other therapies may be good candidates for isotretinoin treatment. It is important for the prescribing healthcare provider to carefully assess the severity of the acne and weigh the benefits against the potential risks before initiating isotretinoin therapy.

Correct Answer: C

Rationale: The child most likely lost 8 pounds due to a reduction of edema. Acute glomerulonephritis is a condition that can lead to significant fluid retention in the body, causing edema (swelling). When the child was hospitalized and received treatment, such as diuretics, to address the underlying cause of the edema, the excess fluid and weight would be lost. This reduction in edema is the most common reason for weight loss in this scenario, rather than poor appetite, increased potassium intake, or restriction to bed rest.

Correct Answer: A

Rationale: Apples, bananas, and strawberries are all suitable choices for a child with acute glomerulonephritis and oliguria. These fruits are high in water content and are not typically restricted in the diet of a child with this condition. It is important to provide hydration through food sources for a child experiencing oliguria. However, foods high in sodium, potassium, and protein (such as cheese) may need to be limited or modified based on the child's condition and the doctor's recommendations. Carrot sticks, although generally a healthy choice, may have high potassium content which could be restricted based on the child's individual dietary requirements.

Correct Answer: A

Rationale: The correct response is option A. By reassuring the parents that digoxin is a safe and frequently used drug, the nurse can help alleviate their concerns about administering the medication to their child. This approach fosters trust and confidence in the treatment plan. It is essential for the nurse to provide accurate information to help the parents feel more comfortable and confident in caring for their child.