A nurse is assessing a toddler diagnosed with congenital heart disease. Which symptom should the nurse prioritize as a sign of heart failure in children?
"Decreased appetite and difficulty sleeping"
"Rapid growth and development milestones achieved ahead of schedule"
"Decreased heart rate and low blood pressure"
"Frequent episodes of irritability and excessive crying"
The Correct Answer is A
A) Correct answer. Decreased appetite and difficulty sleeping are common signs of heart failure in children with congenital heart diseases. Heart failure can lead to poor circulation, decreased cardiac output, and inadequate oxygenation, resulting in reduced appetite and difficulty sleeping due to increased effort in breathing.
B) This option is incorrect. Rapid growth and development milestones achieved ahead of schedule are not indicative of heart failure in children with congenital heart diseases.
C) This option is incorrect. Decreased heart rate and low blood pressure may be signs of cardiovascular compromise, but they are not specific to heart failure.
D) This option is incorrect. Frequent episodes of irritability and excessive crying may be present in infants with heart defects, but they are not specific to heart failure in toddlers.
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Related Questions
Correct Answer is D
Explanation
A) Incorrect. Not all congenital heart diseases resolve on their own. While some may improve over time, it is essential for the client to follow their healthcare provider's recommendations for monitoring and treatment.
B) Incorrect. While breastfeeding has many benefits for infants, it may not directly impact the congenital heart disease. The nurse should focus on educating the client about managing the specific heart condition.
C) Incorrect. Avoiding vaccinations and routine check-ups is not recommended. Regular check-ups and vaccinations are crucial for overall health, and the healthcare provider will guide the client regarding any specific precautions or modifications needed due to the heart condition.
D) The answer is D. Clients with congenital heart diseases are at increased risk of infections, so it is essential to educate the client about infection prevention measures, such as limiting contact with other children during times of increased risk.
Correct Answer is C
Explanation
A) Incorrect. Prostaglandin E1 does not directly increase hemoglobin levels or oxygenation in the blood.
B) Incorrect. Prostaglandin E1 helps maintain the patency of the ductus arteriosus to ensure adequate blood flow to systemic circulation, especially in certain congenital heart diseases. It does not reduce pulmonary blood flow and pressure.
C) The answer is C. Prostaglandin E1 is used to keep the ductus arteriosus open, allowing blood to flow from the pulmonary artery to the aorta. In certain congenital heart diseases, such as critical congenital heart defects, this is necessary to ensure adequate blood circulation.
D) Incorrect. Prostaglandin E1 does not promote the growth of cardiac muscle tissue. Its primary therapeutic effect is related to the patency of the ductus arteriosus.
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