A client with a newborn is concerned about the baby's frequent episodes of sweating, especially during feedings. What should the nurse explain about this clinical manifestation in some congenital heart diseases?
"Frequent sweating during feedings is a normal response to the increased workload of the baby's heart."
"Sweating during feedings is a common symptom of gastrointestinal discomfort and does not relate to heart conditions."
"This sweating may be due to the baby's inability to regulate body temperature, which is unrelated to heart issues."
"Excessive sweating during feedings can be a sign of increased cardiac effort and inadequate oxygen supply in some congenital heart diseases."
The Correct Answer is D
A) This option is incorrect. Frequent sweating during feedings is not a normal response to the increased workload of the baby's heart. It can indicate an underlying issue related to heart function.
B) This option is incorrect. While gastrointestinal discomfort may cause sweating during feedings, it is not the most likely explanation, especially in the context of congenital heart diseases.
C) This option is incorrect. Inability to regulate body temperature is not a common reason for sweating during feedings in infants with congenital heart diseases.
D) Correct answer. Excessive sweating during feedings can be a sign of increased cardiac effort and inadequate oxygen supply in some congenital heart diseases. This symptom may be present in babies with cyanotic heart defects, where oxygen-rich blood is not adequately circulated to the body, leading to compensatory mechanisms like sweating to maintain oxygen balance.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Digoxin is commonly prescribed for clients with congenital heart diseases to improve cardiac contractility. It is essential to monitor the heart rate before administration since digoxin can cause bradycardia as a side effect.
B) Incorrect. The statement is not accurate. There is no need to avoid green, leafy vegetables while taking digoxin. However, the client should be informed about potential drug interactions and follow a balanced diet.
C) Incorrect. Clients taking digoxin should be cautious about consuming potassium-rich foods, as hypokalemia (low potassium levels) can potentiate the effects of digoxin and lead to toxicity.
D) Incorrect. Mild nausea can be a common side effect of digoxin, and the client should not discontinue the medication without consulting their healthcare provider. Instead, they should report any adverse effects for proper evaluation.
Correct Answer is C
Explanation
A) This option is incorrect. Maternal age is a non-modifiable risk factor. However, it is important to educate parents about other factors they can control during pregnancy.
B) This option is incorrect. Family history of heart diseases is a non-modifiable risk factor since it relates to the genetic predisposition for certain conditions.
C) Correct answer. Exposure to environmental toxins can be a modifiable risk factor if expectant parents take appropriate measures to avoid exposure to harmful substances during pregnancy. This may include avoiding certain chemicals, pollutants, and teratogenic agents.
D) This option is incorrect. Genetic inheritance is a non-modifiable risk factor for congenital heart diseases, as it relates to the transmission of genes from parents to their children.
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