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
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
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Using antibacterial soap may be too harsh and could irritate the skin.
B. Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C. Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D. Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.
Correct Answer is ["A","B","E"]
Explanation
A. Bisphosphonates help increase bone density and reduce the frequency of fractures in children with osteogenesis imperfecta.
B. Assistive devices like crutches or wheelchairs help reduce the risk of fractures by providing support and reducing the load on fragile bones.
C. Heat is not a standard intervention for osteogenesis imperfecta. The child’s bones are fragile, and
applying heat may not be beneficial and could cause further injury.
D. Resistance exercises are not recommended for osteogenesis imperfecta, as they could lead to fractures due to the fragile nature of the bones.
E. Ensuring a safe environment to prevent falls and fractures is essential in managing osteogenesis imperfecta.
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