A client with a congenital heart disease is experiencing shortness of breath and chest pain. What action should the client take immediately?

Take an over-the-counter pain reliever.

Perform deep breathing exercises.

Lie down and rest quietly.

Seek medical attention promptly.

Answer and Explanation

The Correct Answer is D

A) Incorrect. Taking an over-the-counter pain reliever may not address the underlying cause of the symptoms and is not the appropriate action in this situation.

B) Incorrect. Deep breathing exercises may not alleviate the symptoms of shortness of breath and chest pain. The client should seek medical attention for proper evaluation and management.

C) Incorrect. While resting quietly is generally advisable, it may not be sufficient to address the client's symptoms. Seeking medical attention is essential to identify and manage the cause of the symptoms.

D) The answer is D. Shortness of breath and chest pain can be signs of a cardiac event or worsening of the congenital heart disease. The client should seek medical attention immediately to receive appropriate evaluation and treatment.

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Correct Answer is ["A"]

Explanation

A. This statement is incorrect because congenital heart diseases are not acquired during childhood; they are structural heart defects that are present at birth due to genetic or environmental factors during fetal development.
B. This statement is accurate and describes the nature of congenital heart diseases as being present from birth and affecting the heart's structure or function.
C. This statement is correct as certain congenital heart diseases can indeed be diagnosed prenatally using fetal echocardiography, allowing for early intervention and planning.
D. This statement is true, as treatment options for congenital heart diseases often include medications, surgical interventions, or other medical therapies, depending on the specific condition and its severity.

A. "Heart murmurs are common in children and do not require further evaluation." B. "This heart murmur is likely a normal finding and does not relate to congenital heart diseases." C. "The harsh, loud, and continuous heart murmur is concerning for potential congenital heart diseases." D. "Heart murmurs are benign and require no intervention unless the child exhibits other symptoms."

Correct Answer is C

Explanation

A) This option is incorrect. While heart murmurs can be common and innocent in children, a harsh, loud, and continuous heart murmur requires further evaluation.

B) This option is incorrect. A harsh, loud, and continuous heart murmur is not a normal finding and should be assessed for potential congenital heart diseases.

C) Correct answer. The presence of a harsh, loud, and continuous heart murmur in a child with recurrent respiratory infections is

concerning for potential congenital heart diseases. It may indicate an abnormal blood flow within the heart, which warrants further evaluation and diagnosis.

D) This option is incorrect. Heart murmurs that are harsh, loud, and continuous are not considered benign and require further evaluation and monitoring.

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A client with a congenital heart disease is experiencing shortness of breath and chest pain. What action should the client take immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client about congenital heart diseases. Which statement by the client indicates a need for further education?

Correct Answer is ["A"]

Explanation

A client brings their toddler to the clinic due to recurrent respiratory infections. The child often presents with a harsh, loud, and continuous heart murmur. What should the nurse recognize about this clinical presentation?

Correct Answer is C

Explanation

A client asks the nurse about the potential risk factors for congenital heart diseases. Which response should the nurse provide?

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