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 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.
Correct Answer is B
Explanation
Choice A rationale:
"I have been feeling very tired lately and I am unable to eat properly.”.
This choice does not address the specific symptoms associated with a Ventricular septal defect (VSD) and is not the best response to the nurse's findings.
While tiredness and poor feeding may be related to heart failure, it does not directly reflect the symptoms associated with VSD, such as breathlessness and sweating with exertion.
Choice B rationale:
"I have been experiencing shortness of breath and rapid weight gain.”.
This is The correct answer.
The symptoms of shortness of breath and rapid weight gain align with the typical presentation of a VSD.
VSD can lead to heart failure, which results in fluid retention, manifesting as rapid weight gain, and shortness of breath due to congestion in the lungs.
Choice C rationale:
"I have been feeling dizzy and fainting frequently.”.
This choice describes symptoms that can be related to various health issues, but it doesn't directly correlate with the characteristic signs of VSD.
The primary symptoms in VSD are related to heart failure, and while dizziness and fainting can occur with severe heart issues, they are not the primary indicators in this case.
Choice D rationale:
"I have been having severe chest pain and palpitations.”.
This response does not align with the typical symptoms of VSD.
While palpitations can be associated with heart issues, chest pain is not a common symptom of VSD.
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