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A nurse has reinforced home care instructions to the mother of a child who is being discharged after cardiac surgery. Which statement, if made by the mother, indicates the need for further instructions?

1. "A balance of rest and exercise is important."
2. "I can apply lotion or powder to the incision if it is itchy."
3. "Activities during which the child could fall need to be avoided for 2 to 4 weeks."
4. "Large crowds of people need to be avoided for at least 2 weeks after this surgery."

1 Answer

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Final answer:

The statement requiring further instruction is that lotion or powder can be applied to the incision if itchy, which is incorrect. The incision should be kept clean and dry to prevent infection, and it is important for the nurse to review and clarify these postoperative care instructions with the mother.

Step-by-step explanation:

The statement by the mother that indicates a need for further instructions after her child has been discharged from cardiac surgery is: "I can apply lotion or powder to the incision if it is itchy." This is incorrect because applying lotion or powder to a healing incision can introduce bacteria and lead to infection. It is important for the surgical site to remain clean and dry to promote healing. The nurse will need to clarify postoperative care instructions regarding incision care to ensure the mother understands how to properly take care of her child during the recovery process.

Postoperative care instructions provided by healthcare professionals, such as surgeons, nurses, and anesthesia providers, are crucial for safe recovery. It involves monitoring for any signs of infection, such as increased redness, swelling, and pain at the incision site. These could indicate a post-surgical complication, and seeking medical attention promptly is essential.

Additionally, the mother should be aware that rest, avoiding situations where the child could fall, and steering clear of large crowds to prevent infection are all important recommendations that must be followed after cardiac surgery. Providing the correct balance of rest and gradual increased activity helps in the recovery process without placing undue stress on the healing heart.

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