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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Penicillin is used to eradicate the group A streptococcus bacteria that cause rheumatic fever, preventing further complications such as heart damage.
B. Corticosteroids may be used to manage symptoms of chorea (involuntary movements), but the primary treatment for rheumatic fever involves antibiotics like penicillin to eradicate the infection.
C. Salicylates (aspirin) are often used to manage the inflammation and fever associated with rheumatic fever, so they are not avoided. This choice is incorrect.
D. Bed rest is only indicated if the child has severe carditis, not as a routine measure for all children with rheumatic fever.
Correct Answer is A
Explanation
A. A negative Prehn's sign (where lifting the scrotum does not relieve pain) is a key sign of testicular torsion, indicating that the blood flow to the testicle is compromised.
B. Rebound abdominal tenderness suggests peritoneal irritation, not specifically testicular torsion.
C. Kernig's sign is a sign of meningitis, not related to testicular torsion.
D. A round, smooth, non-tender mass in the scrotum is more consistent with a hydrocele or hernia, not testicular torsion.
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