Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement?
Parents can meet all of the child's needs.
Constant parental supervision is needed to avoid overexertion.
Child needs to understand that peers' activities are too strenuous.
Child will limit their own activity.
The Correct Answer is D
Choice A reason: This is not a correct statement, as parents cannot meet all of the child's needs. The child needs social interaction and physical activity to promote their growth and development. The parents should encourage the child to play with other children, as long as the activities are appropriate for the child's condition.
Choice B reason: This is not a correct statement, as constant parental supervision is not needed to avoid overexertion. The parents should monitor the child's activity level and signs of fatigue, but they should not interfere with the child's play unless necessary. The parents should also teach the child to recognize and report any symptoms of overexertion, such as chest pain, shortness of breath, or dizziness.
Choice C reason: This is not a correct statement, as the child does not need to understand that peers' activities are too strenuous. The child may feel left out or inferior if they think they cannot do what their peers can do. The child should be allowed to participate in activities that are suitable for their age and ability, and that do not pose a risk to their health.
Choice D reason: This is the correct statement, as the child will limit their own activity. The child will naturally adjust their activity level to their tolerance and comfort. The child will also learn to pace themselves and rest when needed. The child will not overexert themselves unless they are forced or pressured to do so.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is not a correct statement, as the American Academy of Pediatrics does not recommend avoiding breastfeeding for children with congenital heart disease. On the contrary, it supports breastfeeding as the optimal source of nutrition for infants, including those with special health care needs¹.
Choice B reason: This is the correct statement, as the American Academy of Pediatrics does not recommend avoiding breastfeeding for children with congenital heart disease. Breastfeeding may have several benefits for these infants, such as enhancing their immune system, reducing their risk of infection, and promoting their growth and development¹². However, breastfeeding may also pose some challenges for these infants, such as increased energy expenditure, poor weight gain, and difficulty coordinating sucking, swallowing, and breathing²³. Therefore, breastfeeding should be individualized and monitored for each infant with congenital heart disease, and supplemented with formula or fortified breast milk if needed²³.
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as somnolence, hypotension, and oliguria are signs of decompensated shock, not compensated shock. These indicate that the child's blood pressure and urine output are dropping, and that the brain is not receiving enough oxygen.
Choice B reason: This is not a correct statement, as hypotension is a sign of decompensated shock, not compensated shock. This indicates that the child's blood pressure is falling below normal levels, and that the compensatory mechanisms are failing.
Choice C reason: This is not a correct statement, as bradycardia is a sign of irreversible shock, not compensated shock. This indicates that the child's heart rate is slowing down, and that the heart is failing to pump blood effectively.
Choice D reason: This is the correct statement, as irritability, tachycardia, and poor peripheral perfusion are signs of compensated shock. These indicate that the child is experiencing anxiety and discomfort, that the heart is beating faster to maintain blood pressure, and that the blood vessels are constricting to divert blood to vital organs.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.