A nurse is caring for a child with congenital heart disease who presents with clubbing of the fingers and toes. What should the nurse recognize about this clinical manifestation?
"Clubbing of the fingers and toes is a normal developmental finding in infants and young children."
"This symptom is unrelated to heart conditions and may be caused by chronic respiratory issues."
"Clubbing of the fingers and toes can indicate chronic low oxygen levels and impaired cardiac function."
"This finding is commonly observed during adolescence and is temporary with no medical significance."
The Correct Answer is C
A) This option is incorrect. Clubbing of the fingers and toes is not a normal developmental finding in infants and young children. It can indicate an underlying health issue.
B) This option is incorrect. While chronic respiratory issues may cause clubbing, it is specifically related to congenital heart diseases and chronic low oxygen levels.
C) Correct answer. Clubbing of the fingers and toes can indicate chronic low oxygen levels and impaired cardiac function in children with congenital heart diseases. It is a result of changes in the blood vessels and tissues due to inadequate oxygenation.
D) This option is incorrect. Clubbing of the fingers and toes is not commonly observed during adolescence, and it is not temporary. It can persist if the underlying heart condition is not adequately managed.
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Correct Answer is C
Explanation
A) This option is incorrect. While early detection and treatment can improve outcomes, complete resolution of congenital heart diseases is not always possible.
B) This option is incorrect. Timely intervention and treatment are essential for managing congenital heart diseases in affected individuals, but they do not prevent the occurrence of these conditions in future pregnancies.
C) Correct answer. Early management of congenital heart diseases is crucial in minimizing complications, improving the quality of life for affected individuals, and enhancing long-term outcomes.
D) This option is incorrect. While early treatment can significantly improve life expectancy and overall health outcomes, it may not guarantee a "normal" life expectancy for all individuals with congenital heart diseases, as outcomes depend on the specific condition and severity.
Correct Answer is C
Explanation
A) Incorrect. While diagnostic testing may provide information that informs the choice of a surgical procedure, this is not the primary purpose of the tests.
B) Incorrect. While diagnostic testing may identify complications related to the heart disease, it is not the primary purpose of the tests.
C) The answer is C. Diagnostic testing in congenital heart diseases aims to evaluate heart function, blood flow patterns, and any structural abnormalities. These results guide the healthcare team in developing a comprehensive treatment plan for the client.
D) Incorrect. Most congenital heart diseases cannot be "cured" with diagnostic testing alone. However, the information obtained from the tests is crucial in determining the most appropriate management and treatment options.
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