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 D
Explanation
A) This option is incorrect. Frequent sweating during feedings is not a normal response to the increased workload of the baby's heart. It can indicate an underlying issue related to heart function.
B) This option is incorrect. While gastrointestinal discomfort may cause sweating during feedings, it is not the most likely explanation, especially in the context of congenital heart diseases.
C) This option is incorrect. Inability to regulate body temperature is not a common reason for sweating during feedings in infants with congenital heart diseases.
D) Correct answer. Excessive sweating during feedings can be a sign of increased cardiac effort and inadequate oxygen supply in some congenital heart diseases. This symptom may be present in babies with cyanotic heart defects, where oxygen-rich blood is not adequately circulated to the body, leading to compensatory mechanisms like sweating to maintain oxygen balance.
Correct Answer is A
Explanation
A) Correct answer. Advanced maternal age and maternal obesity are among the known risk factors for congenital heart diseases. These factors may increase the likelihood of certain heart abnormalities during fetal development.
B) This option is incorrect. Exposure to common childhood illnesses during pregnancy is not a recognized risk factor for congenital heart diseases. The causes are primarily genetic and developmental in nature.
C) This option is incorrect. While genetic factors play a significant role in the development of congenital heart diseases, there are other recognized risk factors, such as maternal age and obesity.
D) This option is incorrect. There are known risk factors for congenital heart diseases, as mentioned in option A. While some cases may occur sporadically without identifiable risk factors, many cases have associated factors that can be addressed through prenatal care and management.
Questions
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.