The nurse is giving instructions to parents of a 4-month-old infant with tetralogy of Fallot. Important teaching points should include:
If the infant becomes blue and is breathing deeply, put her in the knee-chest position.
If the infant becomes blue and is breathing deeply, put her in the Trendelenburg position.
Feed the infant every 2 hours around the clock.
Add rice cereal to her formula to increase her calories.
The Correct Answer is A
Choice A reason: This is the correct statement, as the knee-chest position can help reduce the cyanosis and hypoxia in infants with tetralogy of Fallot. This position increases the systemic vascular resistance and decreases the right-to-left shunting of blood, improving the pulmonary blood flow and oxygenation¹².
Choice B reason: This is not a correct statement, as the Trendelenburg position can worsen the cyanosis and hypoxia in infants with tetralogy of Fallot. This position decreases the systemic vascular resistance and increases the right-to-left shunting of blood, reducing the pulmonary blood flow and oxygenation¹².
Choice C reason: This is not a correct statement, as feeding the infant every 2 hours around the clock can cause overfeeding and fatigue in infants with tetralogy of Fallot. These infants may have poor appetite and weight gain due to their cardiac condition, and they may need frequent rest periods during feeding. Feeding the infant on demand or every 3 to 4 hours may be more appropriate¹³.
Choice D reason: This is not a correct statement, as adding rice cereal to the formula can increase the risk of aspiration and choking in infants with tetralogy of Fallot. These infants may have difficulty swallowing and coordinating their breathing, and they may need a thin and easily digestible formula. Adding rice cereal to the formula may also increase the caloric density and volume, which can cause overfeeding and fatigue¹³.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct statement, as the knee-chest position can help reduce the cyanosis and hypoxia in infants with tetralogy of Fallot. This position increases the systemic vascular resistance and decreases the right-to-left shunting of blood, improving the pulmonary blood flow and oxygenation¹².
Choice B reason: This is not a correct statement, as the Trendelenburg position can worsen the cyanosis and hypoxia in infants with tetralogy of Fallot. This position decreases the systemic vascular resistance and increases the right-to-left shunting of blood, reducing the pulmonary blood flow and oxygenation¹².
Choice C reason: This is not a correct statement, as feeding the infant every 2 hours around the clock can cause overfeeding and fatigue in infants with tetralogy of Fallot. These infants may have poor appetite and weight gain due to their cardiac condition, and they may need frequent rest periods during feeding. Feeding the infant on demand or every 3 to 4 hours may be more appropriate¹³.
Choice D reason: This is not a correct statement, as adding rice cereal to the formula can increase the risk of aspiration and choking in infants with tetralogy of Fallot. These infants may have difficulty swallowing and coordinating their breathing, and they may need a thin and easily digestible formula. Adding rice cereal to the formula may also increase the caloric density and volume, which can cause overfeeding and fatigue¹³.
Correct Answer is D
Explanation
Choice A reason: This is not a correct statement, as treatment for atopic dermatitis includes keeping the skin moist, not dry. Dry skin can worsen the itching and inflammation of eczema. Moisturizers, emollients, and topical steroids can help hydrate and protect the skin¹.
Choice B reason: This is not a correct statement, as there is no cure for atopic dermatitis. It is a chronic condition that can flare up and subside over time. Treatment can help control the symptoms and prevent complications, but it cannot eliminate the disease¹.
Choice C reason: This is not a correct statement, as atopic dermatitis is not directly associated with upper respiratory tract infections. However, some infants with atopic dermatitis may also have asthma or allergic rhinitis, which can increase the risk of respiratory infections².
Choice D reason: This is the correct statement, as atopic dermatitis is associated with allergy with a hereditary tendency. It is a type of hypersensitivity reaction that involves the immune system and the skin barrier. It is more common in infants who have a family history of eczema, asthma, or hay fever¹².
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