A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

Pyloric Stenosis.

Left Ventricular Hypertrophy. (LVH)

Thickened Right Ventricular Wall

Overriding Aorta.

Ventricular Septal Defect. (MSD)

Pulmonary Stenosis.

Answer and Explanation

Correct Answer : C,D,E,F

A.   Pyloric stenosis is unrelated to TOF. It involves the narrowing of the pyloric valve in the stomach and is not a defect associated with TOF.
B.   LVH is not typically a feature of TOF, as the primary issues affect the right ventricle.
C.   Right ventricular hypertrophy occurs due to the obstruction of blood flow through the pulmonary valve in TOF.
D.   In TOF, the aorta is positioned directly over the ventricular septal defect (VSD), which is known as overriding aorta.
E.   A VSD is a key component of TOF, where there is a hole between the ventricles, allowing oxygen-poor and oxygen-rich blood to mix.
F.   Pulmonary stenosis (narrowing of the pulmonary valve) is one of the hallmark defects in TOF.

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Correct Answer is A

Explanation

A. Encouraging self-care activities helps promote independence and improve the quality of life for a child with hemiplegic cerebral palsy. It focuses on maximizing the child's potential for autonomy.
B. Respite care is important for caregiver support, but fostering self-care activities for the child is a higher priority for long-term development.
C. Modifying the environment is useful for safety and mobility but does not address the child’s ability to perform self-care, which is a key aspect of daily functioning.
D. While communication skills are important, fostering self-care activities takes precedence in
supporting the child’s independence.

A. "All recently used clothing, bedding, and towels must be washed in warm water." B. "Toys that can't be dry cleaned or washed must be thrown out." C. "I will treat all the family members to be on the safe side." D. “We need to comb through our child's hair with a fine-toothed comb to remove the dead lice and nits after using the medicated shampoo."

Correct Answer is D

Explanation

A. This is also correct, but the focus of the question is on the treatment of the child's hair itself.
B. Non-washable toys should be bagged for 2 weeks, not thrown out.
C. While treating all family members is common, only those with active infestations need treatment.
D. This is the correct action after using a medicated shampoo for lice treatment. A fine-toothed comb should be used to remove lice and nits (eggs) from the child's hair.

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A nurse is caring for a preschool client who has Tetralogy of Fallot (TOF). What are the defects the nurse should be aware of when caring for a client with Teratology of Fallot (TOF)? (Select all that apply).

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