A client brings their toddler to the clinic due to recurrent respiratory infections. The child often presents with a harsh, loud, and continuous heart murmur. What should the nurse recognize about this clinical presentation?
"Heart murmurs are common in children and do not require further evaluation."
"This heart murmur is likely a normal finding and does not relate to congenital heart diseases."
"The harsh, loud, and continuous heart murmur is concerning for potential congenital heart diseases."
"Heart murmurs are benign and require no intervention unless the child exhibits other symptoms."
The Correct Answer is C
A) This option is incorrect. While heart murmurs can be common and innocent in children, a harsh, loud, and continuous heart murmur requires further evaluation.
B) This option is incorrect. A harsh, loud, and continuous heart murmur is not a normal finding and should be assessed for potential congenital heart diseases.
C) Correct answer. The presence of a harsh, loud, and continuous heart murmur in a child with recurrent respiratory infections is
concerning for potential congenital heart diseases. It may indicate an abnormal blood flow within the heart, which warrants further evaluation and diagnosis.
D) This option is incorrect. Heart murmurs that are harsh, loud, and continuous are not considered benign and require further evaluation and monitoring.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This option is incorrect. While heart murmurs can be common and innocent in children, a harsh, loud, and continuous heart murmur requires further evaluation.
B) This option is incorrect. A harsh, loud, and continuous heart murmur is not a normal finding and should be assessed for potential congenital heart diseases.
C) Correct answer. The presence of a harsh, loud, and continuous heart murmur in a child with recurrent respiratory infections is
concerning for potential congenital heart diseases. It may indicate an abnormal blood flow within the heart, which warrants further evaluation and diagnosis.
D) This option is incorrect. Heart murmurs that are harsh, loud, and continuous are not considered benign and require further evaluation and monitoring.
Correct Answer is A
Explanation
A) Correct answer. Ethnic background and cultural practices can influence the risk of congenital heart diseases. Some genetic and environmental factors that contribute to heart defects may vary among different ethnic groups.
B) This option is incorrect. While prenatal vitamin and mineral supplementation is important for maternal and fetal health, it is not a specific risk factor for congenital heart diseases.
C) This option is incorrect. Fetal movements and kicking patterns are important indicators of fetal well-being, but they are not directly related to the risk of congenital heart diseases.
D) This option is incorrect. Employment and work-related stress levels are not known risk factors for congenital heart diseases.
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