A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

Right Atrial Enlargement

Left Atrial Enlargement

Shortness of breath.

Pulmonary hypertension

Pulmonary hypotension

Answer and Explanation

Correct Answer : A,C,D

A.   Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B.   Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C.   Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D.   Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E.   Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure

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Correct Answer is C

Explanation

A. A CT scan is not typically used to assess febrile seizures or to diagnose meningitis in this context. CSF analysis is more relevant.
B. While an EEG could be helpful for diagnosing seizures, it is not the priority in this case where an infection (meningitis) is suspected.
C. As mentioned in question 36, CSF analysis is essential in diagnosing meningitis, especially in infants presenting with seizures and fever. The nurse would anticipate this as the most appropriate diagnostic test to confirm meningitis or other CNS infections.
D. Blood cultures are helpful for identifying systemic infection but are not the first step in diagnosing meningitis, where CSF analysis is more specific.

A. Foster self-care activities. B. Provide respite services for the parents. C. Modify the environment. D. Improve the client's communication skills.

Correct Answer is A

Explanation

A. Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B. Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C. Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D. While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.

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A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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