A client is inquiring about the long-term management of their child's congenital heart defect.
What information should the nurse provide regarding follow-up care?
"It's essential to schedule cardiac rehabilitation sessions for your child.”
"Long-term monitoring will include regular follow-up appointments with the cardiologist.”
"You can discontinue all medications once your child reaches a certain age.”
"Balloon valvuloplasty will be the primary treatment for long-term management.”
The Correct Answer is B
"Long-term monitoring will include regular follow-up appointments with the cardiologist.”.
Choice A rationale:
Stating, "It's essential to schedule cardiac rehabilitation sessions for your child," is not accurate for the long-term management of a congenital heart defect.
Cardiac rehabilitation is typically recommended for individuals who have experienced a cardiac event, such as a heart attack, but it is not a standard part of the long-term management of congenital heart defects in children.
Choice B rationale:
Informing the client that long-term monitoring will include regular follow-up appointments with the cardiologist is The correct nursing response.
Regular follow-up appointments are essential for monitoring the child's heart condition, adjusting treatment as needed, and ensuring their overall well-being.
This choice is accurate and aligned with best practices.
Choice C rationale:
Stating, "You can discontinue all medications once your child reaches a certain age," is not accurate or safe advice.
The need for medications in the management of a congenital heart defect is determined by the child's specific condition and the recommendations of the healthcare team.
Discontinuing medications without medical guidance can be dangerous and is not a standard practice.
Choice D rationale:
Claiming, "Balloon valvuloplasty will be the primary treatment for long-term management," is not a universally applicable statement.
The choice of treatment for long-term management of a congenital heart defect depends on the specific diagnosis and clinical circumstances.
While balloon valvuloplasty may be a suitable treatment in some cases, it is not the primary treatment for all congenital heart defects.
Individualized care plans are developed based on the child's condition.
Therefore, this statement is not accurate as a general rule.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
A physical examination is an essential part of the nursing assessment for a child with a congenital heart defect.
It helps the nurse identify physical signs and symptoms that may be indicative of the heart defect.
Choice B rationale:
Assessing growth and development is crucial when caring for a child with a congenital heart defect.
This helps monitor the child's overall health and well-being and can detect any developmental delays or issues related to the heart condition.
Choice C rationale:
Oxygen saturation monitoring is important for children with congenital heart defects as it helps assess the effectiveness of their oxygen delivery and may indicate the need for interventions or adjustments in their care.
Choice D rationale:
A feeding assessment is necessary for children with congenital heart defects as they may experience difficulties with feeding due to limited energy and respiratory issues.
Ensuring adequate nutrition is essential for their growth and development.
Choice E rationale:
Genetic testing is not typically a part of the routine nursing assessment for a child with a congenital heart defect.
While some heart defects may have a genetic component, this is not a standard part of the assessment process.
Correct Answer is B
Explanation
Prepare for emergency surgery.
Choice A rationale:
Administer oxygen therapy immediately.
Administering oxygen therapy would provide temporary relief to the patient's cyanosis, but it does not address the underlying issue in Tetralogy of Fallot (TOF).
TOF is a congenital heart defect characterized by a combination of four heart abnormalities, one of which is a ventricular septal defect (VSD) that allows oxygen-poor blood to mix with oxygen-rich blood.
Administering oxygen will increase the oxygen saturation in the blood but will not fix the structural problem.
The immediate priority for a patient with TOF experiencing a hypercyanotic spell is to address the heart defect itself.
Choice B rationale:
Prepare for emergency surgery.
In Tetralogy of Fallot, hypercyanotic spells, also known as "tet spells," are a medical emergency.
These spells occur due to a sudden decrease in systemic vascular resistance, causing more blood to flow into the right ventricle, leading to increased right-to-left shunting, further decreasing oxygenation.
The most appropriate intervention is to prepare for emergency surgery to correct the underlying cardiac defects, such as closing the VSD and relieving right ventricular outflow obstruction.
Surgery is the definitive treatment for TOF and should be performed promptly during a tet spell to prevent severe hypoxia and potential long-term complications.
Choice C rationale:
Monitor vital signs closely.
While monitoring vital signs is essential in the care of a patient with TOF, it is not the most immediate response in the scenario of a hypercyanotic spell.
Monitoring alone will not address the critical need for intervention to improve oxygenation and prevent hypoxia.
Choice D rationale:
Administer prescribed medication.
Administering prescribed medication may be part of the overall management of a patient with TOF, but it is not the immediate response during a hypercyanotic spell.
Medications can help manage symptoms and stabilize the patient, but the definitive treatment for TOF is surgical correction.
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