A nurse is assessing a client who has been diagnosed with Atrial septal defect (ASD).
The client reports difficulty breathing (dyspnea), frequent respiratory infections, feeling the heart beat (palpitations), and shortness of breath with activity.
During auscultation, the nurse hears a systolic ejection murmur that is best heard at the left upper sternal border.
Which of the following nursing interventions are appropriate for this client? Select all that apply.

Choice A rationale:

The statement, "I need to make sure my child takes their medications on time," indicates the client's awareness of the importance of medication adherence.

This statement reflects responsible medication management and does not indicate a need for further education.

Choice B rationale:

The statement, "Are there any side effects I should watch out for with these medications?" reflects a responsible and informed approach to medication management.

It shows that the client is concerned about potential side effects and is willing to monitor for them, which is a positive sign of medication education.

Choice C rationale:

The statement, "I can give my child herbal supplements to enhance the effect of the medication," indicates a need for further education about medication management.

Herbal supplements can interact with medications and may have unpredictable effects.

Combining them without medical guidance can be dangerous and is not recommended.

Choice D rationale:

The statement, "I should keep a record of all the medications my child is taking," is a responsible and proactive approach to medication management.

Keeping a record helps ensure that the child is receiving The correct medications and doses and can be helpful in case of any emergencies.

It indicates a good understanding of the importance of medication management.

Choice A rationale:

"I have been feeling very tired lately and I am unable to eat properly.”.

This choice does not address the specific symptoms associated with a Ventricular septal defect (VSD) and is not the best response to the nurse's findings.

While tiredness and poor feeding may be related to heart failure, it does not directly reflect the symptoms associated with VSD, such as breathlessness and sweating with exertion.

Choice B rationale:

"I have been experiencing shortness of breath and rapid weight gain.”.

This is The correct answer.

The symptoms of shortness of breath and rapid weight gain align with the typical presentation of a VSD.

VSD can lead to heart failure, which results in fluid retention, manifesting as rapid weight gain, and shortness of breath due to congestion in the lungs.

Choice C rationale:

"I have been feeling dizzy and fainting frequently.”.

This choice describes symptoms that can be related to various health issues, but it doesn't directly correlate with the characteristic signs of VSD.

The primary symptoms in VSD are related to heart failure, and while dizziness and fainting can occur with severe heart issues, they are not the primary indicators in this case.

Choice D rationale:

"I have been having severe chest pain and palpitations.”.

This response does not align with the typical symptoms of VSD.

While palpitations can be associated with heart issues, chest pain is not a common symptom of VSD.