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    NURS_533-01_SU25 Pediatric Final Proctored Exam

    A nurse is caring for a 7-month-old who is eight days post-op from an open heart surgery to repair her Tetralogy of Fallot (TOF). Which statement regarding post-operative care by the parent would require additional education from the nurse?

    Explanation & Rationale

    Rationale: A. "I understand that my baby will be given multiple IV medications. Some of these medications might include opioids for pain management and antibiotics to protect her from infection.": Pain control and infection prevention are essential after open heart surgery. B. "I understand that I will need to be careful when picking up my baby, I will need to pick her up by the head and bottom to protect her sternum.": Sternal precautions are critical to prevent strain on the healing sternum. C. "I understand that it is important my baby continues to do tummy time once a day so her motor development does not suffer while in the hospital.": Tummy time after recent sternotomy can place pressure on the chest incision and stress the healing sternum, increasing risk of complications. It should be delayed until cleared by the surgical team. D. "I understand that we will be in the hospital for a couple of weeks for treatment and monitoring post-op and then we will need close follow up with cardiology and the surgery team.": Post-op recovery often requires extended hospitalization and long-term follow-up to monitor cardiac function and surgical healing.

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