The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)
Swelling in all extremities.
Frequent lung infections.
Standard weight and growth percentile.
Dyspnea.
Heart murmur.
Correct Answer : B,D,E
A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Woolen clothes may irritate the skin and should be avoided by children with eczema.
B. Hot water and frequent baths can dry out and irritate the skin, worsening eczema. Lukewarm water is recommended.
C. Loose cotton clothing helps to minimize irritation and sweating, which can worsen eczema symptoms.
D. Moisturizers are essential for managing eczema and preventing skin dryness. They should be used regularly.
Correct Answer is C
Explanation
A. Tricuspid atresia causes underdevelopment of the right side of the heart and does not result in increased pulmonary blood flow.
B. Pulmonic stenosis causes obstruction of blood flow to the lungs, not an increase in blood flow.
C. A ventricular septal defect (VSD) is a congenital heart defect that allows blood to flow from the left ventricle to the right ventricle, increasing blood flow to the lungs and causing pulmonary congestion.
D. Transposition of the great arteries results in two separate circulations, one for oxygenated and one for deoxygenated blood, and does not increase pulmonary blood flow
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