A client with a congenital heart disease is being discharged home. What should the nurse include in the client's discharge teaching regarding activity?
Encourage the client to participate in high-intensity aerobic exercises daily.
Limit physical activities to mild exercises and avoid competitive sports.
Advise against any physical activity for at least six months.
Recommend participating in activities with prolonged standing to increase endurance.
The Correct Answer is B
A) Incorrect. Encouraging high-intensity aerobic exercises daily is not appropriate for a client with a congenital heart disease, as it can put excessive strain on the heart and may not be safe.
B) The answer is B. Limiting physical activities to mild exercises and avoiding competitive sports is recommended for clients with congenital heart diseases to prevent overexertion and potential complications.
C) Incorrect. Complete restriction of physical activity for six months is not necessary for most clients with congenital heart diseases. It is essential to promote safe and appropriate physical activities.
D) Incorrect. Activities with prolonged standing may increase venous return and potentially worsen certain congenital heart conditions. The focus should be on low to moderate intensity exercises.
QUESTIONS
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct answer. Gestational diabetes is associated with an increased risk of congenital heart diseases in the baby. Poorly controlled diabetes during pregnancy can affect fetal development and increase the likelihood of birth defects, including heart defects.
B) This option is incorrect. While preeclampsia is a serious pregnancy complication, it is not specifically linked to an increased risk of congenital heart diseases.
C) This option is incorrect. Hyperthyroidism, an overactive thyroid gland during pregnancy, may pose risks to both the mother and baby, but it is not directly associated with congenital heart diseases.
D) This option is incorrect. Iron deficiency anemia can affect maternal and fetal health, but it is not considered a risk factor for congenital heart diseases.
Correct Answer is A
Explanation
A) Correct answer. Advanced maternal age and maternal obesity are among the known risk factors for congenital heart diseases. These factors may increase the likelihood of certain heart abnormalities during fetal development.
B) This option is incorrect. Exposure to common childhood illnesses during pregnancy is not a recognized risk factor for congenital heart diseases. The causes are primarily genetic and developmental in nature.
C) This option is incorrect. While genetic factors play a significant role in the development of congenital heart diseases, there are other recognized risk factors, such as maternal age and obesity.
D) This option is incorrect. There are known risk factors for congenital heart diseases, as mentioned in option A. While some cases may occur sporadically without identifiable risk factors, many cases have associated factors that can be addressed through prenatal care and management.
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