A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

Tricuspid atresia

Pulmonic stenosis

Ventricular Septal Defect

Transposition of the great arteries

Answer and Explanation

The Correct Answer is C

A.   Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B.   Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C.   A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D.   Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow

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Correct Answer is D

Explanation

A. A child with a fever due to a viral infection may pose an infection risk to the immunocompromised leukemia patient.
B. A child recovering from surgery may have a wound or infection risk, which could also be a concern for a child receiving chemotherapy.
C. A child with chickenpox is highly contagious and should not be in the same room as an immunocompromised child.
D. A child with asthma is not immunocompromised and is less likely to pose an infection risk to a child undergoing chemotherapy.

A. Bradycardia. B. Cyanosis. C. Weak pulses. D. Widened pulse pressure.

Correct Answer is D

Explanation

A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.

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A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

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