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A nurse is assessing a 1-year-old child who has Tetralogy of Fallot. Which of the following findings should the nurse expect?

A.

single ventricle anatomy, aortic atresia, atrial septal defect

B.

right ventricular hypertrophy, pulmonary stenosis, ventricular septal defect, overriding aorta

C.

ventricular septal defect, atrial septal defect, overriding aorta

D.

overriding aorta, atrial septal defect, left ventricular hypertrophy

Answer and Explanation

The Correct Answer is B

A. Single ventricle anatomy, aortic atresia, and atrial septal defect are elements of other congenital heart defects such as those seen in hypoplastic left heart syndrome.

B. Right ventricular hypertrophy, pulmonary stenosis, ventricular septal defect (VSD), and overriding aorta – These four classic defects define Tetralogy of Fallot (TOF).

C. Atrial septal defect is not part of tetralogy of Fallot.

D. Atrial septal defect and left ventricular hypertrophy are not part of tetralogy of Fallot (TOF). Instead, ventricular septal defect and right ventricular hypertrophy are part of TOF.


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Related Questions

Correct Answer is ["B","D"]

Explanation

A. Warm compresses can worsen irritation and are not recommended.

B. Cool baths help relieve itching by soothing irritated skin without increasing inflammation.

C. Antiviral medications like acyclovir require a prescription and are typically only given in severe cases or for high-risk children (e.g., immunocompromised).

D. Keeping the child's nails short reduces the risk of secondary bacterial infections from scratching the lesions.

Correct Answer is D

Explanation

A. A 2-year-old toddler – Not the standard age for MCV4; however, high-risk infants (e.g., asplenic children) may receive a different meningococcal vaccine.

B. A 4-month-old infant – Too young for MCV4; infants may receive the MenB vaccine in special cases.

C. A 4-year-old child – Not part of the routine meningococcal vaccine schedule.

D. An 11-year-old school-age child – The MCV4 vaccine is recommended at ages 11-12, with a booster at age 16 to protect against bacterial meningitis.

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