The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?
Turner syndrome
Trisomy 18
Spina bifida
Trisomy 21
The Correct Answer is B
A. Turner syndrome is a chromosomal disorder affecting females and does not typically coincide with VSD.
B. Trisomy 18 (also called Edwards syndrome) is a chromosomal disorder that often presents with congenital heart defects, including VSD.
C. Spina bifida is a neural tube defect and is not directly related to VSD.
D. Trisomy 21 (Down syndrome) may have congenital heart defects but is not specifically associated with VSD as commonly as trisomy 18.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Place the patch on the right eye for several hours daily would not be effective for treating amblyopia. The goal of patching is to encourage the use of the weaker (lazy) eye, so the good eye (left) must be patched.
B. Place the patch on the left eye for several hours daily is the correct approach to treat amblyopia, as it forces the right (weaker) eye to work and improve visual acuity.
C. Place the patch on the right eye for one hour daily would not effectively treat the amblyopia in the left eye, as it focuses on the wrong eye.
D. Alternate the patch from the right to the left eye hourly is not typically done. Consistent patching of the stronger (left) eye is recommended.
Correct Answer is D
Explanation
A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.
B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.
C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.
D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.
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