A traumatic loss is a very different experience from the loss of a child who has been battling a chronic or life-threatening condition for a period of time. Both experiences produce great emotional responses, but a traumatic loss can also produce a tremendous feeling of what emotion?

Depression

Denial

Anger

Guilt

Answer and Explanation

The Correct Answer is D

A. Depression is a common response to all types of grief, but it is not unique to traumatic loss.
B. Denial is one of the stages of grief, but again, it is not specific to traumatic loss.
C. Anger may occur with any type of grief, but it does not distinguish traumatic loss from anticipated loss.
D. Guilt is often intensely experienced in traumatic loss, particularly when the loss is sudden and unexpected. Survivors may blame themselves or question their actions, wondering if they could have done something to prevent the death, which is less common in prolonged or anticipated loss.

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Correct Answer is ["A","B","D","F"]

Explanation

A. Morphine sulfate is used to calm the infant and reduce respiratory effort, which decreases right-to-left shunting of blood and helps improve oxygenation during a "Tet spell."
B. Administering IV fluids increases preload, which can help reduce the severity of the right-to-left shunting by promoting more blood flow to the lungs.
C. Calling a code blue is not typically the first step unless the infant becomes unresponsive or pulseless. Tet spells can often be managed effectively with prompt nursing interventions.
D. Placing the infant in a knee-to-chest position increases systemic vascular resistance, which reduces right-to-left shunting and improves oxygenation.
E. Bronchodilators are used for bronchospasm-related respiratory issues (e.g., asthma), not congenital heart defects like Tetralogy of Fallot.
F. Administering 100% oxygen by face mask helps improve oxygen saturation, although it is not the primary treatment, it supports oxygenation during the episode.

A. The underlying cause of cyanosis in Tetralogy of Fallot is aortic stenosis. B. The underlying cause of cyanosis in Tetralogy of Fallot is a patent ductus arteriosus (PDA). C. The underlying cause of cyanosis in Tetralogy of Fallot is mitral valve regurgitation. D. The underlying cause of cyanosis in Tetralogy of Fallot is a ventricular septal defect (VSD).

Correct Answer is D

Explanation

A. Aortic stenosis affects blood flow from the left ventricle to the aorta, but it is not a component of Tetralogy of Fallot.
B. A patent ductus arteriosus (PDA) is a separate congenital defect and not part of Tetralogy of Fallot.
C. Mitral valve regurgitation is related to left-sided heart valve dysfunction and is not a feature of this condition.
D. One of the four components of Tetralogy of Fallot is a ventricular septal defect (VSD). The VSD, along with pulmonary stenosis, leads to right-to-left shunting of deoxygenated blood, which bypasses the lungs and enters systemic circulation, causing cyanosis.

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A traumatic loss is a very different experience from the loss of a child who has been battling a chronic or life-threatening condition for a period of time. Both experiences produce great emotional responses, but a traumatic loss can also produce a tremendous feeling of what emotion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant diagnosed with Tetralogy of Fallot. The infant suddenly becomes cyanotic, and his oxygen saturation reading drops to 60% Choose the interventions the nurse should perform. (Select All that Apply.)

Correct Answer is ["A","B","D","F"]

Explanation

A patient is admitted to the hospital for heart surgery to have a Tetralogy of Fallot repair. The parents are asking the nurse to explain one of the underlying causes of their child's cyanosis. Nurse Lisa is correct in her explanation when she says:

Correct Answer is D

Explanation

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