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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
Choice A rationale:
Echocardiography Echocardiography is the most appropriate diagnostic test for assessing the size and shape of the heart and detecting associated abnormalities in a child with a suspected congenital heart defect.
It uses sound waves to create images of the heart, providing detailed information about the heart's structure and function.
It is non-invasive and safe, making it an excellent choice for initial evaluation.
Choice B rationale:
Electrocardiography (ECG) Electrocardiography (ECG) is a valuable test for assessing the electrical activity of the heart, including rhythm and conduction abnormalities.
However, it does not provide detailed information about the size and shape of the heart or structural abnormalities.
ECG is often used in conjunction with other tests like echocardiography.
Choice C rationale:
Chest X-ray A chest X-ray can provide some information about the heart's size and shape but is not as detailed as echocardiography.
It is often used as an initial screening tool but is not the primary diagnostic test for assessing congenital heart defects and their associated abnormalities.
Choice D rationale:
Cardiac catheterization Cardiac catheterization is an invasive procedure that involves threading a thin tube (catheter) through blood vessels into the heart.
It is primarily used to obtain detailed hemodynamic information and to perform interventions such as closing defects or dilating narrowed blood vessels.
While it can be valuable in certain situations, it is not the initial diagnostic test of choice for assessing the size and shape of the heart in a child with a suspected congenital heart defect.
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