This is a 3-year-old with a history of ventricular septal defect. He was born vaginally at 35 weeks and was in the neonatal intensive care unit (NICU) for 3 weeks due to poor feeding. He lives with his parents and an older sibling, who has no medical conditions. The client is here for a follow-up visit. The nurse educates the parents on post-discharge care for the child. What should the nurse include in post-discharge care education? Select all that apply.

In post-discharge care education for a 3-year-old with a history of ventricular septal defect, the nurse should include the following: C. Alert the physician if the site bleeds or swells: This is important because it may indicate complications or issues related to the ventricular septal defect. F. Monitor for fever: Fever can be a sign of infection or other concerns, so it's important to monitor for any changes in the child's temperature. The other options are not applicable or advisable for post-discharge care in this context: A. Keeping a pressure dressing on the site for one week is not typically necessary for ventricular septal defect and may not be appropriate for a 3-year-old. B. Giving ibuprofen for pain is not relevant in this context, as pain management for ventricular septal defect is not typically managed with ibuprofen. D. Giving only clear liquids for several days is not indicated for ventricular septal defect or post-discharge care. E. Avoiding any kind of bath or shower is not a standard practice for post-discharge care for a child with a ventricular septal defect. The focus should be on monitoring for signs of complications, such as bleeding, swelling, or fever, and seeking medical attention when necessary.