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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct answer. Weight gain and edema in the lower extremities can be signs of worsening heart failure in children with congenital heart defects. Fluid retention occurs due to the heart's inability to effectively pump blood, leading to fluid accumulation in the body.
B) This option is incorrect. While decreased heart rate and blood pressure within the normal range may be indicative of stable heart function, they are not specific indicators of worsening heart failure.
C) This option is incorrect. Improved appetite and increased physical activity level are positive indicators but do not specifically reflect the child's heart failure status.
D) This option is incorrect. Resolution of cyanosis and pink coloration of the lips and nail beds are positive signs of improved oxygenation and may indicate effective management of the heart defect but not the potential worsening of heart failure.
Correct Answer is D
Explanation
A) This option is incorrect. Middle-aged adults are not considered a high-risk population for congenital heart diseases. These conditions are primarily present from birth.
B) This option is incorrect. Elderly individuals are not at high risk for congenital heart diseases since these conditions are typically diagnosed at birth or during childhood.
C) This option is incorrect. While prenatal diagnosis of certain congenital heart diseases is possible through fetal echocardiography, pregnant women themselves are not at a higher risk for developing these conditions.
D) Correct answer. Neonates and infants are the highest-risk population for congenital heart diseases because these conditions are typically present from birth and may become apparent shortly after delivery or during infancy.
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