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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A) This option is incorrect. Maintaining a sedentary lifestyle during pregnancy is not recommended, as moderate exercise can be beneficial for both maternal and fetal health.

B) This option is incorrect. Prenatal check-ups and ultrasounds are essential for monitoring the health and development of the fetus and identifying any potential issues, including congenital heart diseases.

C) Correct answer. Genetic counseling can help assess the risk of congenital heart diseases based on the family history and provide guidance and recommendations for future pregnancies. This counseling can assist in making informed decisions about prenatal care and potential interventions.

D) This option is incorrect. While a family history of congenital heart diseases may increase the risk, seeking appropriate medical guidance and prenatal care can help manage and address these risks.

A. "You can introduce solid foods to your baby's diet starting at six months." B. "Feed your baby small, frequent meals to prevent fatigue." C. "It's essential to avoid breastfeeding due to potential complications." D. "Limit the baby's fluid intake to prevent excessive urination."

Correct Answer is B

Explanation

A) Incorrect. While solid foods are introduced around six months of age, the nurse should consider the specific condition of the infant's congenital heart disease before giving feeding recommendations.

B) The answer is B. Infants with congenital heart diseases may tire easily during feeding due to the increased effort required for sucking and swallowing. Feeding small, frequent meals can help prevent fatigue and ensure adequate nutrition.

C) Incorrect. Breastfeeding is generally encouraged, even for infants with congenital heart diseases. However, the nurse should consider any specific feeding challenges the infant may have due to their heart condition and provide appropriate support and guidance.

D) Incorrect. Limiting fluid intake may not be necessary unless specifically advised by the healthcare provider. Infants need sufficient hydration, and fluid intake should be managed based on the infant's overall health and condition.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with a family history of congenital heart diseases asks the nurse about ways to reduce the risk for their future children. What should the nurse advise?

Correct Answer is C

Explanation

A nurse is providing discharge education to the parents of an infant with a congenital heart disease. What should the nurse include in the teaching regarding feeding?

Correct Answer is B

Explanation

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