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","C","D"]
Explanation
Choice A rationale:
Bluish discoloration of the skin, lips, or nail beds (cyanosis) is a classic symptom of cyanotic congenital heart disease (CCHD).
This occurs because of the inadequate oxygenation of the blood, which leads to oxygen-poor blood being circulated in the body.
Choice B rationale:
Poor feeding and inadequate weight gain can be associated with CCHD, especially when there is a significant reduction in cardiac output.
Infants with CCHD may have difficulty feeding due to the increased workload on their heart and may struggle to gain weight.
Choice C rationale:
Rapid breathing and shortness of breath are common symptoms in children with CCHD.
The inadequate oxygenation of the blood can lead to an increased respiratory rate and shortness of breath as the body tries to compensate for the lack of oxygen.
Choice D rationale:
Abnormal heart sounds heard during auscultation are characteristic of CCHD.
The specific type of abnormal heart sound may vary depending on the specific defect but can include murmurs, clicks, or other unusual sounds.
Choice E rationale:
Frequent respiratory infections are not typically associated with CCHD.
While children with CCHD may be more susceptible to infections due to their compromised oxygenation, it is not a direct symptom of the condition.
Correct Answer is A
Explanation
Choice A rationale:
Echocardiography Echocardiography is the most appropriate diagnostic test for assessing the size and shape of the heart and detecting associated abnormalities in a child with a suspected congenital heart defect.
It uses sound waves to create images of the heart, providing detailed information about the heart's structure and function.
It is non-invasive and safe, making it an excellent choice for initial evaluation.
Choice B rationale:
Electrocardiography (ECG) Electrocardiography (ECG) is a valuable test for assessing the electrical activity of the heart, including rhythm and conduction abnormalities.
However, it does not provide detailed information about the size and shape of the heart or structural abnormalities.
ECG is often used in conjunction with other tests like echocardiography.
Choice C rationale:
Chest X-ray A chest X-ray can provide some information about the heart's size and shape but is not as detailed as echocardiography.
It is often used as an initial screening tool but is not the primary diagnostic test for assessing congenital heart defects and their associated abnormalities.
Choice D rationale:
Cardiac catheterization Cardiac catheterization is an invasive procedure that involves threading a thin tube (catheter) through blood vessels into the heart.
It is primarily used to obtain detailed hemodynamic information and to perform interventions such as closing defects or dilating narrowed blood vessels.
While it can be valuable in certain situations, it is not the initial diagnostic test of choice for assessing the size and shape of the heart in a child with a suspected congenital heart defect.
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