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?
"I need to make sure my child takes their medications on time.”
"Are there any side effects I should watch out for with these medications?".
"I can give my child herbal supplements to enhance the effect of the medication.”
"I should keep a record of all the medications my child is taking.”
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Monitor vital signs regularly.
This is an appropriate nursing intervention for a client with Atrial septal defect (ASD).
Regular monitoring of vital signs, including heart rate and blood pressure, helps to assess the client's cardiovascular status and response to treatment.
Choice B rationale:
Administer prescribed medications.
Administering medications as prescribed is a crucial nursing intervention.
Depending on the client's condition, medications may include diuretics, antiarrhythmics, or other medications to manage symptoms and improve heart function.
Choice C rationale:
Encourage bed rest.
Encouraging bed rest is not typically required for clients with ASD unless there are specific indications, such as severe symptoms.
It's important to promote activity within the limits of the client's condition to prevent deconditioning.
Choice D rationale:
Provide oxygen therapy as needed.
Oxygen therapy may be needed for clients with ASD if they experience significant hypoxia or respiratory distress.
It can help improve oxygen saturation and relieve dyspnea.
Choice E rationale:
Educate the client about lifestyle modifications.
Educating the client about lifestyle modifications is essential.
Clients with ASD may benefit from lifestyle changes such as a heart-healthy diet, regular exercise within their limits, and smoking cessation if applicable.
These modifications can help manage symptoms and improve overall cardiovascular health.
Correct Answer is A
Explanation
Choice A rationale:
The patient's statement, "My baby's skin and lips have turned bluish," is a classic symptom of cyanosis.
Cyanosis is a bluish or purple discoloration of the skin and mucous membranes, which occurs due to a lack of oxygen in the blood.
In this case, it's associated with a ventricular septal defect (VSD), which is a congenital heart defect that allows oxygen-poor blood from the right side of the heart to mix with oxygen-rich blood from the left side.
Choice B rationale:
The statement, "My baby has difficulty feeding and is not gaining weight properly," may be related to the VSD, but it is not a typical symptom of cyanosis.
This symptom can occur due to congestive heart failure in infants with VSD.
Choice C rationale:
"My baby gets tired quickly during physical activity" can also be associated with VSD and congestive heart failure, but it is not a direct symptom of cyanosis.
Choice D rationale:
"I can hear abnormal heart sounds during the check-up" is not a symptom but rather a sign of a ventricular septal defect.
Abnormal heart sounds, like a loud holosystolic murmur, may be heard on auscultation.
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