A client with a congenital heart disease asks the nurse about potential symptoms they might experience. Which response by the nurse is accurate?

"Most individuals with congenital heart diseases remain asymptomatic throughout their lives."

"Symptoms of congenital heart diseases typically develop during adolescence or adulthood."

"Common symptoms may include cyanosis (bluish skin), fatigue, and shortness of breath."

"Congenital heart diseases often present with mild cold-like symptoms and occasional fever."

Answer and Explanation

The Correct Answer is C

A) This option is incorrect. While some individuals with congenital heart diseases may remain asymptomatic, others can experience symptoms depending on the type and severity of the condition.

B) This option is incorrect. Congenital heart diseases are present from birth, and symptoms may manifest shortly after birth or during infancy, childhood, or adolescence.

C) Correct answer. Common symptoms of congenital heart diseases can include cyanosis (bluish discoloration of the skin or lips due to poor oxygenation), fatigue, and shortness of breath. These symptoms may arise due to poor blood circulation and oxygenation.

D) This option is incorrect. Congenital heart diseases do not typically present with mild cold-like symptoms and fever. These are more indicative of common respiratory infections, unrelated to heart conditions.

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Correct Answer is A

Explanation

A) The answer is A. Before administering furosemide, it is essential to assess the child's respiratory rate because this medication is a loop diuretic that can lead to fluid and electrolyte imbalances, including hypokalemia. Respiratory rate assessment helps monitor for signs of respiratory distress, especially in clients with heart failure.

B) Incorrect. While monitoring the child's blood pressure is essential, it is not the priority action before administering furosemide. Blood pressure may be affected by the diuretic action of the medication, but respiratory status is more critical to assess initially.

C) Incorrect. Although monitoring electrolyte levels is important when administering furosemide, it is not the priority action. Assessing the child's respiratory rate takes precedence to identify any respiratory distress.

D) Incorrect. Determining the child's weight is relevant in assessing the effectiveness of furosemide therapy. However, it is not the priority action before administering the medication. Respiratory assessment is more critical for immediate intervention.

Questions

A. "The risk of infection is low since you'll receive prophylactic antibiotics before surgery." B. "You should avoid contact with others for at least two weeks to prevent infection." C. "Infection risk is higher in the hospital, so we'll discharge you early to reduce exposure." D. "You won't be at risk of infection after the surgery."

Correct Answer is A

Explanation

A) The answer is A. Prophylactic antibiotics are often given before surgical procedures to prevent infection, especially in clients with congenital heart diseases who may be at a higher risk of endocarditis.

B) Incorrect. While it's essential for the client to take precautions after surgery to reduce the risk of infection, avoiding contact with others for two weeks is not necessary or practical. Instead, following proper wound care and taking prescribed medications as instructed are more relevant measures.

C) Incorrect. Discharging the client early from the hospital does not necessarily reduce the risk of infection. Postoperative care and wound management are crucial to prevent infection, regardless of the length of the hospital stay.

D) Incorrect. All surgical procedures carry some risk of infection. While healthcare providers take measures to minimize this risk, it is not accurate to claim there is no risk at all.

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A client with a congenital heart disease asks the nurse about potential symptoms they might experience. Which response by the nurse is accurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child with a congenital heart disease who is prescribed furosemide (Lasix). What is the nurse's priority action before administering this medication?

Correct Answer is A

Explanation

A nurse is caring for a client with a congenital heart disease who is scheduled for corrective surgery. The client asks the nurse about the risk of infection after the procedure. What is the nurse's best response?

Correct Answer is A

Explanation

A client with a family history of congenital heart diseases asks the nurse about ways to reduce the risk for their future children. What should the nurse advise?

A nurse is preparing to administer digoxin to an infant with a congenital heart disease. What is the nurse's priority action before giving the medication?

A client with a diagnosed congenital heart disease is prescribed digoxin. What should the nurse include in the client's teaching about this medication?

A nurse is assessing a pregnant client's risk factors for congenital heart diseases. Which information should the nurse prioritize during the assessment?

A client with a history of congenital heart disease is scheduled for dental surgery. What precaution should the nurse recommend to the client?

A nurse is discussing the prevalence of congenital heart diseases with a client. Which population should the nurse identify as having the highest risk for these conditions?

A nurse is providing education to a group of expectant parents about modifiable risk factors for congenital heart diseases. Which factor should the nurse emphasize as one that can be modified during pregnancy?

A client with a congenital heart disease is prescribed enalapril. The nurse should instruct the client to avoid consuming which food while on this medication?