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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Foot: Suitable for infants or younger children, especially in cases of limited upper extremity access.
B. Forearm: Not a typical placement site for pulse oximetry due to lack of adequate perfusion.
C. Earlobe: Often used when peripheral sites are unreliable, especially in cases of poor circulation.
D. Fingertip: The most common site for older children or adults.
E. Toe: Frequently used in infants or small children.
F. Cheek: Not a standard site for pulse oximeter placement.
Correct Answer is B
Explanation
Formula: Dosage (mg) = Weight (kg) × Dosage per kg.
30 kg × 0.2 mg/kg = 6 mg
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