A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis. Which of the following is an accurate statement about this condition?
"Tetralogy of Fallon is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect,right ventricular hypertrophy and an overriding aorta.”
"Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta."
"Tetralogy of Fallot is a group of the heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy.”
"Tetralogy of Fallot is a heart defect that impacts the circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood.”
The Correct Answer is A
A. "Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta." This is the correct definition of Tetralogy of Fallot. The four defects result in decreased oxygenation of blood, leading to cyanosis and other circulatory problems that require medical intervention.
B. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to the atypical placement of the aorta." While an overriding aorta is one of the four defects in Tetralogy of Fallot, it is not the sole cause of circulatory problems. The condition results from a combination of four structural abnormalities, not just aortic malposition.
C. "Tetralogy of Fallot is a group of heart defects that impact the circulation of blood in your child's body. These are aortic stenosis, atrial septal defect, and left ventricular hypertrophy." This statement describes different congenital heart defects but does not accurately define Tetralogy of Fallot. Aortic stenosis and atrial septal defects are not components of this condition.
D. "Tetralogy of Fallot is a heart defect that impacts circulation in your child's body due to an opening in the wall between the ventricles, causing mixing of oxygenated and deoxygenated blood." While a ventricular septal defect (VSD) is one of the four components, it is not the only issue affecting circulation. The combination of all four defects contributes to the condition's severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Allergic rhinitis. Allergic rhinitis is the most common allergic reaction in children, often triggered by environmental allergens such as pollen, dust mites, and pet dander. It presents with symptoms like sneezing, nasal congestion, runny nose, and itchy eyes, affecting a large number of children worldwide.
B. Systemic reaction. Systemic allergic reactions, which affect multiple organ systems, are less common than localized reactions such as allergic rhinitis. They are more severe but do not occur as frequently in children as mild to moderate allergic responses.
C. Hives. Hives (urticaria) are a common allergic skin reaction, often triggered by food, medications, or insect stings. However, while common, they occur less frequently than allergic rhinitis, which is a more persistent condition.
D. Anaphylaxis. Anaphylaxis is a severe and life-threatening allergic reaction, but it is relatively rare compared to allergic rhinitis. It requires immediate medical intervention and is most commonly triggered by food allergies, insect stings, or medications.
Correct Answer is B
Explanation
A. Ask the parents to escort the child's sibling to the family lounge so they are not in the child's room. Removing the sibling from the room does not address their distress or emotional needs. Siblings of hospitalized children may experience fear, anxiety, or feelings of exclusion, and they need support, not isolation.
B. Consult the child life specialist to provide age-appropriate activities and emotional support to the sibling. Child life specialists are trained to help children understand and cope with hospitalization through play, education, and emotional support. They can help the sibling process their emotions in an age-appropriate way.
C. Provide the sibling with coloring pages and crayons to keep them occupied in the child's room. While coloring can be a helpful distraction, it does not address the sibling’s distress or provide the emotional support they may need to understand their sibling’s condition.
D. Offer the sibling a tour of the hospital unit to help them become more familiar with the environment. A tour may help the child feel more comfortable, but it does not directly address their distress or emotions regarding their sibling’s hospitalization.
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