A client asks the nurse, "How can I optimize my child's respiratory function?" What should the nurse's response include?

Teaching proper positioning techniques.

Administering vasodilators.

Monitoring growth patterns.

Providing information on the child's condition.

Answer and Explanation

The Correct Answer is A

Choice A rationale:

The nurse's response should include teaching proper positioning techniques as optimizing a child's respiratory function can be improved by correct positioning.

Proper positioning helps ensure that the child's airways are open and not obstructed, which is essential for effective breathing.

This is a fundamental aspect of respiratory care, especially in pediatric patients who may not be able to reposition themselves if they are uncomfortable or experiencing difficulty breathing.

Choice B rationale:

Administering vasodilators is not typically a measure to optimize a child's respiratory function.

Vasodilators are medications that dilate blood vessels and are usually used in specific cardiovascular conditions to reduce the workload on the heart.

They are not directly related to optimizing respiratory function.

Choice C rationale:

Monitoring growth patterns, while important for a child's overall health, is not a direct response to the client's question about optimizing respiratory function.

Growth patterns are assessed for general development and health, but they do not specifically address respiratory function.

Choice D rationale:

Providing information on the child's condition is essential, but it does not directly address the question about optimizing respiratory function.

While education is crucial, the primary focus should be on practical measures to improve the child's respiratory function, such as proper positioning and breathing techniques.

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Correct Answer is A

Explanation

Choice A rationale:

Echocardiography Echocardiography is the most appropriate diagnostic test for assessing the size and shape of the heart and detecting associated abnormalities in a child with a suspected congenital heart defect.

It uses sound waves to create images of the heart, providing detailed information about the heart's structure and function.

It is non-invasive and safe, making it an excellent choice for initial evaluation.

Choice B rationale:

Electrocardiography (ECG) Electrocardiography (ECG) is a valuable test for assessing the electrical activity of the heart, including rhythm and conduction abnormalities.

However, it does not provide detailed information about the size and shape of the heart or structural abnormalities.

ECG is often used in conjunction with other tests like echocardiography.

Choice C rationale:

Chest X-ray A chest X-ray can provide some information about the heart's size and shape but is not as detailed as echocardiography.

It is often used as an initial screening tool but is not the primary diagnostic test for assessing congenital heart defects and their associated abnormalities.

Choice D rationale:

Cardiac catheterization Cardiac catheterization is an invasive procedure that involves threading a thin tube (catheter) through blood vessels into the heart.

It is primarily used to obtain detailed hemodynamic information and to perform interventions such as closing defects or dilating narrowed blood vessels.

While it can be valuable in certain situations, it is not the initial diagnostic test of choice for assessing the size and shape of the heart in a child with a suspected congenital heart defect.

A. Encourage regular follow-up appointments with the cardiologist. B. Teach parents how to administer medication to the child. C. Advise parents to expose the child to secondhand smoke for immunity. D. Instruct parents to limit physical activity to prevent any stress on the child's heart. E. Provide resources for support groups and counseling for the parents.

Correct Answer is ["A","B","E"]

Explanation

Encourage regular follow-up appointments with the cardiologist.

B. Teach parents how to administer medication to the child.

E. Provide resources for support groups and counseling for the parents.

Choice A rationale:

Encouraging regular follow-up appointments with the cardiologist is essential for a child with a congenital heart defect.

These appointments allow for the monitoring of the child's heart condition, adjustments in their treatment plan, and early detection of any potential issues or complications.

Regular follow-up ensures that the child's heart health is closely monitored, which is crucial for their well-being.

Choice B rationale:

Teaching parents how to administer medication to the child is another important nursing intervention.

Many children with congenital heart defects require medications to manage their condition.

Proper administration is critical to maintaining the child's health and preventing complications.

Education empowers parents to be actively involved in their child's care, ensuring medication compliance and safety.

Choice C rationale:

Advising parents to expose the child to secondhand smoke is not appropriate.

Secondhand smoke is harmful and can have detrimental effects on a child's health, especially a child with a congenital heart defect.

It can worsen respiratory and cardiovascular problems, which is the opposite of promoting the child's well-being.

This choice should be avoided.

Choice D rationale:

Instructing parents to limit physical activity to prevent any stress on the child's heart is not a suitable nursing intervention.

While some restrictions on physical activity may be necessary, they should be determined by the cardiologist based on the child's specific condition.

Complete physical inactivity can have negative effects on a child's overall health and development.

It's important to strike a balance between physical activity and the child's heart health.

Choice E rationale:

Providing resources for support groups and counseling for the parents is an excellent nursing intervention.

Having a child with a congenital heart defect can be emotionally challenging for parents.

Support groups and counseling can offer them emotional support, guidance, and a safe space to share their concerns and experiences.

This contributes to the parents' well-being, which in turn benefits the child's care and family dynamics.

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A client asks the nurse, "How can I optimize my child's respiratory function?" What should the nurse's response include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with a suspected congenital heart defect.Which diagnostic test is most appropriate for assessing the size and shape of the heart and detecting associated abnormalities?

Correct Answer is A

Explanation

A nurse is providing education to parents of a child with a congenital heart defect.Select all appropriate nursing interventions for parents to promote their child's well-being.

Correct Answer is ["A","B","E"]

Explanation

(Select all that apply):.A nurse is performing a nursing assessment on a child with a congenital heart defect.Which aspects should the nurse include in the assessment? Select all that apply.

(Select all that apply): A nurse is educating a group of parents about congenital heart defects in children.Which factors may contribute to the development of congenital heart defects in children? Select all that apply.

Select all the symptoms that may be associated with cyanotic congenital heart disease (CCHD) in children.

A client is diagnosed with an atrial septal defect (ASD).What is a likely symptom associated with this condition?

A client asks the nurse, "What is the purpose of measuring the level of oxygen in my child's blood?" Which response by the nurse is accurate?

A nurse is providing nursing interventions for a child with a congenital heart defect.What is an example of a medication that may be administered as prescribed to this child?