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:

Cyanosis that worsens with crying or feeding is characteristic of Tetralogy of Fallot (TOF).

TOF is a congenital heart defect characterized by four specific cardiac abnormalities, one of which is a ventricular septal defect (VSD).

The VSD allows deoxygenated blood to flow from the right ventricle into the left ventricle and then into the aorta, leading to systemic cyanosis, which is exacerbated by crying or feeding due to increased right-to-left shunting.

Choice B rationale:

Severe chest pain is not a characteristic symptom of Tetralogy of Fallot (TOF).

TOF primarily presents with cyanosis and other associated symptoms related to the heart defect.

Choice C rationale:

Palpitations are not a characteristic symptom of TOF.

While some children with congenital heart defects may experience palpitations, this is not a specific hallmark of TOF.

Choice D rationale:

Frequent respiratory infections are not a characteristic symptom of TOF.

The symptoms associated with TOF are primarily related to cardiac function, such as cyanosis, and do not directly cause respiratory infections.

A. "I need to make sure my child takes their medications on time.” B. "Are there any side effects I should watch out for with these medications?". C. "I can give my child herbal supplements to enhance the effect of the medication.” D. "I should keep a record of all the medications my child is taking.”

Correct Answer is C

Explanation

Choice A rationale:

The statement, "I need to make sure my child takes their medications on time," indicates the client's awareness of the importance of medication adherence.

This statement reflects responsible medication management and does not indicate a need for further education.

Choice B rationale:

The statement, "Are there any side effects I should watch out for with these medications?" reflects a responsible and informed approach to medication management.

It shows that the client is concerned about potential side effects and is willing to monitor for them, which is a positive sign of medication education.

Choice C rationale:

The statement, "I can give my child herbal supplements to enhance the effect of the medication," indicates a need for further education about medication management.

Herbal supplements can interact with medications and may have unpredictable effects.

Combining them without medical guidance can be dangerous and is not recommended.

Choice D rationale:

The statement, "I should keep a record of all the medications my child is taking," is a responsible and proactive approach to medication management.

Keeping a record helps ensure that the child is receiving The correct medications and doses and can be helpful in case of any emergencies.

It indicates a good understanding of the importance of medication management.

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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 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?

Correct Answer is A

Explanation

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?

Correct Answer is C

Explanation

A nurse is caring for a child diagnosed with Ventricular septal defect (VSD).The child presents with poor feeding, fast breathing, and sweating with exertion.Which of the following is the characteristic heart murmur associated with VSD?

A client is inquiring about the long-term management of their child's congenital heart defect.What information should the nurse provide regarding follow-up care?

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 nurse is caring for an infant with cyanosis and a ventricular septal defect (VSD).The nurse should expect which of the following symptoms in this patient?

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

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?

(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 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.