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 B

Explanation

A. The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B. Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C. Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D. While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.

A. Low levels are not diagnostic B. If AFP is negative there are no genetic problems C. If AFP is high more testing is needed. D. If AFP is elevated the child will have a neural tube defect.

Correct Answer is C

Explanation

A. Low levels of AFP are not diagnostic of any condition, but they could indicate a potential issue, requiring further investigation.
B. A negative AFP test does not rule out genetic issues, as AFP is just one screening tool.
C. High levels of AFP may indicate a neural tube defect or other issues and warrant further testing, such as ultrasound or amniocentesis.
D. An elevated AFP level is associated with neural tube defects but does not definitively indicate the presence of one without further testing.

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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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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is C

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