Which comment made by a parent of a 1-month old would alert the nurse about the presence of a congenital heart defect?

"He is always hungry."

"He is fussy for several hours every day."

"He tires out during feedings."

"He sleeps all the time."

Answer and Explanation

The Correct Answer is C

A. "He is always hungry.": This is not typically a sign of a congenital heart defect. Many infants are hungry frequently as they grow, so this would not be an alerting sign.

B. "He is fussy for several hours every day.": Fussiness is common in infants and does not necessarily indicate a congenital heart defect.

C. "He tires out during feedings.": This is a concerning sign. Infants with congenital heart defects often have difficulty feeding due to poor oxygenation and energy reserves. Fatigue during feedings is a common symptom of heart defects.

D. "He sleeps all the time.": Sleeping a lot could be normal for a 1-month-old infant, and it would not necessarily indicate a congenital heart defect unless the infant is lethargic or difficult to rouse.

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Correct Answer is C

Explanation

A. Lack of adequate ventricle strength to pump blood to the body: While right ventricular hypertrophy is part of Tetralogy of Fallot, the primary cause of fatigue is inadequate oxygenation, not muscle strength.

B. Restricted blood flow leaving the heart: This contributes to low oxygen levels but isn’t the direct reason for fatigue; the issue lies in oxygen availability for metabolism.

C. Inadequate oxygenation for supporting energy metabolism: The structural defects cause reduced oxygen delivery to tissues, leading to fatigue during activities like feeding.

D. Increased circulation pressure to the lungs: Pulmonary stenosis reduces blood flow to the lungs, but this doesn’t directly explain fatigue from eating.

A. Measles B. Cardiomyopathy C. Tetralogy of Fallot D. Kawasaki Disease

Correct Answer is D

Explanation

A. Measles: Typically presents with Koplik spots, a maculopapular rash, and fever, not a strawberry tongue or non-blistering rash.

B. Cardiomyopathy: Refers to a disease of the heart muscle; it does not cause a strawberry tongue or rash.

C. Tetralogy of Fallot: A congenital heart defect that presents with cyanosis and heart-related symptoms, not a strawberry tongue or rash.

D. Kawasaki Disease: Characterized by a strawberry tongue, fever, rash, conjunctivitis, and irritability, especially during the acute phase.

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Which comment made by a parent of a 1-month old would alert the nurse about the presence of a congenital heart defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has Tetralogy of Fallot and notes that the infant is easily fatigued when eating. The nurse should recognize that the infant's fatigue is caused by which of the following?

Correct Answer is C

Explanation

A child is in the acute phase of a disease with findings of a strawberry tongue, irritability, and a non-blistering rash. What disease could the child be experiencing?

Correct Answer is D

Explanation

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