A nurse is providing nursing interventions for a child with a congenital heart defect.
What is an example of a medication that may be administered as prescribed to this child?
Antibiotics.
Anti-seizure medication.
Diuretics.
Painkillers.
The Correct Answer is C
Choice A rationale:
Antibiotics are not specific to congenital heart defects.
While a child with a heart defect may need antibiotics in certain situations, they are not a medication that is universally prescribed for all children with heart defects.
Choice B rationale:
Anti-seizure medication is not typically prescribed for children with congenital heart defects unless there is a specific medical indication related to seizures.
It is not a standard treatment for heart defects.
Choice C rationale:
Diuretics are an example of a medication that may be prescribed to a child with a congenital heart defect.
Diuretics can help manage fluid retention, reduce the workload on the heart, and improve the child's overall condition.
Choice D rationale:
Painkillers may be prescribed for pain relief, but they are not specific to congenital heart defects.
Their use would depend on the individual circumstances and whether the child is experiencing pain.
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Correct Answer is A
Explanation
Choice A rationale:
Checking the child's oxygen saturation using a pulse oximeter is an appropriate action during the assessment of a child with a congenital heart defect.
Oxygen saturation monitoring helps assess the child's oxygen levels, which is crucial in determining the adequacy of oxygen supply to the body.
Children with congenital heart defects are at risk of reduced oxygen levels, and monitoring oxygen saturation is a vital part of their care.
Choice B rationale:
Ensuring the child receives all their vaccinations is important for the child's overall health but is not directly related to the assessment of a congenital heart defect.
Vaccinations are typically administered as part of routine healthcare, but they do not address the specific concerns related to a congenital heart defect assessment.
Choice C rationale:
Assessing the child's neurological development is important but is not the primary focus of the assessment for a congenital heart defect.
While neurological assessment is important for overall child development, it does not directly relate to the cardiac assessment.
Choice D rationale:
Monitoring the child's growth based on height alone is not a comprehensive assessment for a child with a congenital heart defect.
Monitoring growth should include various parameters, such as weight, head circumference, and developmental milestones.
Relying solely on height may not provide a complete picture of the child's overall development.
Correct Answer is A
Explanation
Choice A rationale:
Cyanosis that worsens with crying or feeding is characteristic of Tetralogy of Fallot (TOF).
TOF is a congenital heart defect characterized by four specific cardiac abnormalities, one of which is a ventricular septal defect (VSD).
The VSD allows deoxygenated blood to flow from the right ventricle into the left ventricle and then into the aorta, leading to systemic cyanosis, which is exacerbated by crying or feeding due to increased right-to-left shunting.
Choice B rationale:
Severe chest pain is not a characteristic symptom of Tetralogy of Fallot (TOF).
TOF primarily presents with cyanosis and other associated symptoms related to the heart defect.
Choice C rationale:
Palpitations are not a characteristic symptom of TOF.
While some children with congenital heart defects may experience palpitations, this is not a specific hallmark of TOF.
Choice D rationale:
Frequent respiratory infections are not a characteristic symptom of TOF.
The symptoms associated with TOF are primarily related to cardiac function, such as cyanosis, and do not directly cause respiratory infections.
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