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","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.

A. "This murmur is a sign of a heart defect called coarctation of the aorta (COA).” B. "This murmur is a sign of a heart defect called atrial septal defect (ASD).” C. "This murmur is a sign of a heart defect called ventricular septal defect (VSD).” D. "This murmur is a sign of a heart defect called tetralogy of Fallot (TOF).”

Correct Answer is A

Explanation

"This murmur is a sign of a heart defect called coarctation of the aorta (COA).”.

Choice A rationale:

"This murmur is a sign of a heart defect called coarctation of the aorta (COA).”.

A systolic ejection murmur heard at the left upper sternal border can be indicative of coarctation of the aorta (COA).

Coarctation of the aorta is a congenital heart defect characterized by a narrowing or constriction of the aorta, typically near the site of the ductus arteriosus.

This narrowing leads to increased pressure and turbulence in the left ventricle and aorta, resulting in the systolic ejection murmur.

Informing the client about the likely diagnosis is a good approach as it helps provide them with essential information about their condition.

Choice B rationale:

"This murmur is a sign of a heart defect called atrial septal defect (ASD).”.

An atrial septal defect (ASD) typically presents with a different type of murmur, not a systolic ejection murmur heard at the left upper sternal border.

ASD is characterized by a fixed, split second heart sound (S2) and a mid-systolic murmur at the upper left sternal border.

The description in the question does not align with the typical findings of an ASD.

Choice C rationale:

"This murmur is a sign of a heart defect called ventricular septal defect (VSD).”.

A ventricular septal defect (VSD) also presents with a different type of murmur, typically a harsh holosystolic murmur heard at the lower left sternal border.

The description of the murmur in the question, a systolic ejection murmur at the left upper sternal border, is not characteristic of a VSD.

Choice D rationale:

"This murmur is a sign of a heart defect called tetralogy of Fallot (TOF).”.

Tetralogy of Fallot (TOF) is characterized by a different set of heart defects, including a ventricular septal defect (VSD), overriding aorta, right ventricular outflow tract obstruction, and right ventricular hypertrophy.

The murmur described in the question is not specific to TOF and is more indicative of coarctation of the aorta (COA) due to its location and characteristics.

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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 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

A client is admitted to the hospital with a systolic ejection murmur that is best heard at the left upper sternal border.The client has no other symptoms and is otherwise healthy.The client asks the nurse, "What does this murmur mean?".The nurse's best response is:.

Correct Answer is A

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

A client has a child diagnosed with Tetralogy of Fallot (TOF) and is concerned about the child's symptoms.Which of the following symptoms are characteristic of TOF?

A nurse is assisting with the post-operative care of a child who has undergone heart surgery to repair a septal defect.What is a key nursing intervention during this time?

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 client has a child with a congenital heart defect and is concerned about the child's medication.What statement by the client indicates a need for further education about medication management?

(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.

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