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 ["A","B","D","E"]
Explanation
Choice A rationale:
Monitor vital signs regularly.
This is an appropriate nursing intervention for a client with Atrial septal defect (ASD).
Regular monitoring of vital signs, including heart rate and blood pressure, helps to assess the client's cardiovascular status and response to treatment.
Choice B rationale:
Administer prescribed medications.
Administering medications as prescribed is a crucial nursing intervention.
Depending on the client's condition, medications may include diuretics, antiarrhythmics, or other medications to manage symptoms and improve heart function.
Choice C rationale:
Encourage bed rest.
Encouraging bed rest is not typically required for clients with ASD unless there are specific indications, such as severe symptoms.
It's important to promote activity within the limits of the client's condition to prevent deconditioning.
Choice D rationale:
Provide oxygen therapy as needed.
Oxygen therapy may be needed for clients with ASD if they experience significant hypoxia or respiratory distress.
It can help improve oxygen saturation and relieve dyspnea.
Choice E rationale:
Educate the client about lifestyle modifications.
Educating the client about lifestyle modifications is essential.
Clients with ASD may benefit from lifestyle changes such as a heart-healthy diet, regular exercise within their limits, and smoking cessation if applicable.
These modifications can help manage symptoms and improve overall cardiovascular health.
Correct Answer is B
Explanation
Choice A rationale:
"I have been feeling very tired lately and I am unable to eat properly.”.
This choice does not address the specific symptoms associated with a Ventricular septal defect (VSD) and is not the best response to the nurse's findings.
While tiredness and poor feeding may be related to heart failure, it does not directly reflect the symptoms associated with VSD, such as breathlessness and sweating with exertion.
Choice B rationale:
"I have been experiencing shortness of breath and rapid weight gain.”.
This is The correct answer.
The symptoms of shortness of breath and rapid weight gain align with the typical presentation of a VSD.
VSD can lead to heart failure, which results in fluid retention, manifesting as rapid weight gain, and shortness of breath due to congestion in the lungs.
Choice C rationale:
"I have been feeling dizzy and fainting frequently.”.
This choice describes symptoms that can be related to various health issues, but it doesn't directly correlate with the characteristic signs of VSD.
The primary symptoms in VSD are related to heart failure, and while dizziness and fainting can occur with severe heart issues, they are not the primary indicators in this case.
Choice D rationale:
"I have been having severe chest pain and palpitations.”.
This response does not align with the typical symptoms of VSD.
While palpitations can be associated with heart issues, chest pain is not a common symptom of VSD.
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