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A nurse is providing education to parents of a child with a congenital heart defect.
Select all appropriate nursing interventions for parents to promote their child's well-being.

Encourage regular follow-up appointments with the cardiologist.

Teach parents how to administer medication to the child.

Advise parents to expose the child to secondhand smoke for immunity.

Instruct parents to limit physical activity to prevent any stress on the child's heart.

Provide resources for support groups and counseling for the parents.

Answer and Explanation

Correct Answer : A,B,E

Encourage regular follow-up appointments with the cardiologist.

B. Teach parents how to administer medication to the child.

E. Provide resources for support groups and counseling for the parents.

Choice A rationale:

Encouraging regular follow-up appointments with the cardiologist is essential for a child with a congenital heart defect.

These appointments allow for the monitoring of the child's heart condition, adjustments in their treatment plan, and early detection of any potential issues or complications.

Regular follow-up ensures that the child's heart health is closely monitored, which is crucial for their well-being.

Choice B rationale:

Teaching parents how to administer medication to the child is another important nursing intervention.

Many children with congenital heart defects require medications to manage their condition.

Proper administration is critical to maintaining the child's health and preventing complications.

Education empowers parents to be actively involved in their child's care, ensuring medication compliance and safety.

Choice C rationale:

Advising parents to expose the child to secondhand smoke is not appropriate.

Secondhand smoke is harmful and can have detrimental effects on a child's health, especially a child with a congenital heart defect.

It can worsen respiratory and cardiovascular problems, which is the opposite of promoting the child's well-being.

This choice should be avoided.

Choice D rationale:

Instructing parents to limit physical activity to prevent any stress on the child's heart is not a suitable nursing intervention.

While some restrictions on physical activity may be necessary, they should be determined by the cardiologist based on the child's specific condition.

Complete physical inactivity can have negative effects on a child's overall health and development.

It's important to strike a balance between physical activity and the child's heart health.

Choice E rationale:

Providing resources for support groups and counseling for the parents is an excellent nursing intervention.

Having a child with a congenital heart defect can be emotionally challenging for parents.

Support groups and counseling can offer them emotional support, guidance, and a safe space to share their concerns and experiences.

This contributes to the parents' well-being, which in turn benefits the child's care and family dynamics.

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Correct Answer is A

Explanation

Choice A rationale:

The nurse's response should include teaching proper positioning techniques as optimizing a child's respiratory function can be improved by correct positioning.

Proper positioning helps ensure that the child's airways are open and not obstructed, which is essential for effective breathing.

This is a fundamental aspect of respiratory care, especially in pediatric patients who may not be able to reposition themselves if they are uncomfortable or experiencing difficulty breathing.

Choice B rationale:

Administering vasodilators is not typically a measure to optimize a child's respiratory function.

Vasodilators are medications that dilate blood vessels and are usually used in specific cardiovascular conditions to reduce the workload on the heart.

They are not directly related to optimizing respiratory function.

Choice C rationale:

Monitoring growth patterns, while important for a child's overall health, is not a direct response to the client's question about optimizing respiratory function.

Growth patterns are assessed for general development and health, but they do not specifically address respiratory function.

Choice D rationale:

Providing information on the child's condition is essential, but it does not directly address the question about optimizing respiratory function.

While education is crucial, the primary focus should be on practical measures to improve the child's respiratory function, such as proper positioning and breathing techniques.

A. "My baby's skin and lips have turned bluish.” B. "My baby has difficulty feeding and is not gaining weight properly.” C. "My baby gets tired quickly during physical activity.” D. "I can hear abnormal heart sounds during the check-up.”

Correct Answer is A

Explanation

Choice A rationale:

The patient's statement, "My baby's skin and lips have turned bluish," is a classic symptom of cyanosis.

Cyanosis is a bluish or purple discoloration of the skin and mucous membranes, which occurs due to a lack of oxygen in the blood.

In this case, it's associated with a ventricular septal defect (VSD), which is a congenital heart defect that allows oxygen-poor blood from the right side of the heart to mix with oxygen-rich blood from the left side.

Choice B rationale:

The statement, "My baby has difficulty feeding and is not gaining weight properly," may be related to the VSD, but it is not a typical symptom of cyanosis.

This symptom can occur due to congestive heart failure in infants with VSD.

Choice C rationale:

"My baby gets tired quickly during physical activity" can also be associated with VSD and congestive heart failure, but it is not a direct symptom of cyanosis.

Choice D rationale:

"I can hear abnormal heart sounds during the check-up" is not a symptom but rather a sign of a ventricular septal defect.

Abnormal heart sounds, like a loud holosystolic murmur, may be heard on auscultation.

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A nurse is providing education to parents of a child with a congenital heart defect.Select all appropriate nursing interventions for parents to promote their child's well-being.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client asks the nurse, "How can I optimize my child's respiratory function?" What should the nurse's response include?

Correct Answer is A

Explanation

A nurse is caring for an infant with cyanosis and a ventricular septal defect (VSD).The nurse should expect which of the following symptoms in this patient?

Correct Answer is A

Explanation

(Select all that apply):.A nurse is performing a nursing assessment on a child with a congenital heart defect.Which aspects should the nurse include in the assessment? Select all that apply.

Select all the symptoms that may be associated with cyanotic congenital heart disease (CCHD) in children.

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A nurse caring for a child with a congenital heart defect is performing a physical examination.Which statement reflects an appropriate action during the assessment?

A client is inquiring about the long-term management of their child's congenital heart defect.What information should the nurse provide regarding follow-up care?

A client diagnosed with Tetralogy of Fallot (TOF) presents with cyanosis that worsens with crying or feeding; clubbing of fingers and toes; poor feeding, weight gain, or growth; polycythemia; hypercyanotic spells (“tet spells”).What should be the nurse's immediate response?

A client is admitted to the hospital with a systolic ejection murmur that is best heard at the left upper sternal border.The client has no other symptoms and is otherwise healthy.The client asks the nurse, "What does this murmur mean?".The nurse's best response is:.

A nurse is providing education to parents of a child with a congenital heart defect.
Select all appropriate nursing interventions for parents to promote their child's well-being.