Select all the symptoms that may be associated with cyanotic congenital heart disease (CCHD) in children.
Bluish discoloration of the skin, lips, or nail beds.
Poor feeding and inadequate weight gain.
Rapid breathing and shortness of breath.
Abnormal heart sounds heard during auscultation.
Frequent respiratory infections.
Correct Answer : A,B,C,D
Choice A rationale:
Bluish discoloration of the skin, lips, or nail beds (cyanosis) is a classic symptom of cyanotic congenital heart disease (CCHD).
This occurs because of the inadequate oxygenation of the blood, which leads to oxygen-poor blood being circulated in the body.
Choice B rationale:
Poor feeding and inadequate weight gain can be associated with CCHD, especially when there is a significant reduction in cardiac output.
Infants with CCHD may have difficulty feeding due to the increased workload on their heart and may struggle to gain weight.
Choice C rationale:
Rapid breathing and shortness of breath are common symptoms in children with CCHD.
The inadequate oxygenation of the blood can lead to an increased respiratory rate and shortness of breath as the body tries to compensate for the lack of oxygen.
Choice D rationale:
Abnormal heart sounds heard during auscultation are characteristic of CCHD.
The specific type of abnormal heart sound may vary depending on the specific defect but can include murmurs, clicks, or other unusual sounds.
Choice E rationale:
Frequent respiratory infections are not typically associated with CCHD.
While children with CCHD may be more susceptible to infections due to their compromised oxygenation, it is not a direct symptom of the condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Assessing for signs of infection or bleeding at the surgical site.
Choice A rationale:
Administering herbal supplements to aid in healing is not a key nursing intervention in post-operative care for a child who has undergone heart surgery.
The use of herbal supplements should be carefully considered and discussed with the healthcare team, as they may interact with medications or affect the child's recovery.
However, it's not a primary nursing intervention.
Choice B rationale:
Monitoring the child's growth and development is an important aspect of pediatric care, but it is not the key nursing intervention during the immediate post-operative period.
The primary focus in this phase is on assessing for immediate post-surgical complications and ensuring the child's stability and recovery.
Choice C rationale:
Ensuring the child maintains complete bed rest is not a recommended intervention in the post-operative care of a child who has undergone heart surgery.
While some restrictions on physical activity may be necessary, complete bed rest is generally not advisable.
Mobilization, as appropriate, is essential to prevent complications such as deep vein thrombosis and to promote recovery.
Choice D rationale:
Assessing for signs of infection or bleeding at the surgical site is a key nursing intervention during the post-operative period.
Infection and bleeding are immediate post-operative complications that can have serious consequences.
Early detection and prompt intervention are crucial to ensure the child's safety and well-being.
Nursing assessments focus on monitoring vital signs, wound appearance, and any signs of infection or bleeding.
Correct Answer is B
Explanation
"Long-term monitoring will include regular follow-up appointments with the cardiologist.”.
Choice A rationale:
Stating, "It's essential to schedule cardiac rehabilitation sessions for your child," is not accurate for the long-term management of a congenital heart defect.
Cardiac rehabilitation is typically recommended for individuals who have experienced a cardiac event, such as a heart attack, but it is not a standard part of the long-term management of congenital heart defects in children.
Choice B rationale:
Informing the client that long-term monitoring will include regular follow-up appointments with the cardiologist is The correct nursing response.
Regular follow-up appointments are essential for monitoring the child's heart condition, adjusting treatment as needed, and ensuring their overall well-being.
This choice is accurate and aligned with best practices.
Choice C rationale:
Stating, "You can discontinue all medications once your child reaches a certain age," is not accurate or safe advice.
The need for medications in the management of a congenital heart defect is determined by the child's specific condition and the recommendations of the healthcare team.
Discontinuing medications without medical guidance can be dangerous and is not a standard practice.
Choice D rationale:
Claiming, "Balloon valvuloplasty will be the primary treatment for long-term management," is not a universally applicable statement.
The choice of treatment for long-term management of a congenital heart defect depends on the specific diagnosis and clinical circumstances.
While balloon valvuloplasty may be a suitable treatment in some cases, it is not the primary treatment for all congenital heart defects.
Individualized care plans are developed based on the child's condition.
Therefore, this statement is not accurate as a general rule.
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