A nurse is teaching a client about congenital heart diseases. Which statement by the client indicates a need for further education?
"Congenital heart diseases are acquired during childhood due to infections or lifestyle factors."
"These heart conditions are present from birth and may affect the heart's structure or function."
"Some congenital heart diseases can be diagnosed during pregnancy through fetal echocardiography."
"Treatment for congenital heart diseases may involve medications, surgery, or other medical interventions."
Correct Answer : A
A. This statement is incorrect because congenital heart diseases are not acquired during childhood; they are structural heart defects that are present at birth due to genetic or environmental factors during fetal development.
B. This statement is accurate and describes the nature of congenital heart diseases as being present from birth and affecting the heart's structure or function.
C. This statement is correct as certain congenital heart diseases can indeed be diagnosed prenatally using fetal echocardiography, allowing for early intervention and planning.
D. This statement is true, as treatment options for congenital heart diseases often include medications, surgical interventions, or other medical therapies, depending on the specific condition and its severity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) The answer is A. Premedicating with an antipyretic before the dental procedure can help prevent bacterial endocarditis, a severe infection in clients with certain congenital heart diseases.
B) Incorrect. Antibiotic prophylaxis is recommended for some clients with congenital heart diseases to prevent bacterial endocarditis. The client should consult their healthcare provider for appropriate prophylactic measures.
C) Incorrect. The timing of the surgery in the afternoon does not significantly impact recovery. The appropriate timing should be determined by the healthcare provider and the client's medical condition.
D) Incorrect. Aspirin is an anticoagulant, and the client should consult their healthcare provider about the management of aspirin therapy before any surgical procedure.
Correct Answer is C
Explanation
A) This option is incorrect. While heart murmurs can be common and innocent in children, a harsh, loud, and continuous heart murmur requires further evaluation.
B) This option is incorrect. A harsh, loud, and continuous heart murmur is not a normal finding and should be assessed for potential congenital heart diseases.
C) Correct answer. The presence of a harsh, loud, and continuous heart murmur in a child with recurrent respiratory infections is
concerning for potential congenital heart diseases. It may indicate an abnormal blood flow within the heart, which warrants further evaluation and diagnosis.
D) This option is incorrect. Heart murmurs that are harsh, loud, and continuous are not considered benign and require further evaluation and monitoring.
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