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.”

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:

A continuous "machinery" murmur that is loudest below the left clavicle is typically associated with a patent ductus arteriosus (PDA), not VSD.

PDA is a different congenital heart defect.

Choice B rationale:

A harsh holosystolic murmur that is best heard at the left lower sternal border is the characteristic murmur associated with Ventricular Septal Defect (VSD).

This murmur is caused by the blood flowing from the high-pressure left ventricle to the low-pressure right ventricle through the VSD hole throughout the cardiac cycle.

Choice C rationale:

A systolic ejection murmur that is best heard at the left upper sternal border is often associated with aortic stenosis, not VSD.

Choice D rationale:

A systolic ejection murmur that radiates to the back is characteristic of aortic regurgitation, which is a different cardiac condition.

The characteristic heart murmur in VSD is the result of blood flowing from the left ventricle to the right ventricle through the VSD hole during systole.

This causes a harsh holosystolic murmur, which is loudest at the left lower sternal border due to the location of the defect in the ventricular septum.

Therefore, choice B is The correct answer.

A. "It helps assess the electrical activity of the heart.” B. "It evaluates the child's respiratory rate and effort.” C. "It monitors oxygen saturation using pulse oximetry.” D. "It measures the child's weight and developmental milestones.”

Correct Answer is C

Explanation

Choice A rationale:

Measuring the level of oxygen in a child's blood does not help assess the electrical activity of the heart.

Oxygen measurement and the assessment of heart electrical activity are two separate concepts.

Choice B rationale:

Measuring oxygen levels in the blood primarily evaluates the child's oxygen saturation, not the respiratory rate and effort.

While oxygen saturation is related to respiratory function, it doesn't directly assess the rate and effort of breathing.

Choice C rationale:

Measuring the level of oxygen in a child's blood monitors oxygen saturation using pulse oximetry.

Pulse oximetry is a non-invasive method used to measure the percentage of oxygen saturation in the blood.

This is important because it provides information about the child's oxygen levels, which is crucial for assessing their respiratory and circulatory status.

Choice D rationale:

Measuring the level of oxygen in the blood does not measure the child's weight and developmental milestones.

This response is unrelated to the purpose of monitoring oxygen levels in the blood.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A client asks the nurse, "What is the purpose of measuring the level of oxygen in my child's blood?" Which response by the nurse is accurate?

Correct Answer is C

Explanation

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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?