Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?

Carctation of aorta

Artic stenosis

Patient ductus arteriosus (PDA)

Tetralogy of fallot

Answer and Explanation

The Correct Answer is D

Tetralogy of Fallot is a congenital heart defect characterized by a combination of four specific heart abnormalities:
Ventricular septal defect (VSD): A hole in the wall (septum) between the two lower chambers (ventricles) of the heart.
Overriding aorta: The aorta is positioned over both the left and right ventricles, allowing oxygen-poor (deoxygenated) blood from the right ventricle to mix with oxygen-rich (oxygenated) blood from the left ventricle.
Pulmonic stenosis: Narrowing of the pulmonary valve or artery, which restricts blood flow from the right ventricle to the lungs.
Right ventricular hypertrophy: The right ventricle becomes thicker and more muscular as it works harder to pump blood against the narrowed pulmonary valve or artery.
The combination of these defects results in deoxygenated blood from the right ventricle being pumped into the systemic circulation, leading to cyanosis (blueness of the skin) due to decreased oxygen levels in the arterial blood.
The other options (A, B, and C) describe different congenital heart defects but do not specifically result in cyanosis due to deoxygenated blood entering the systemic circulation:

A. Coarctation of the aorta results in the narrowing of the aorta but does not directly lead to cyanosis from the mixing of oxygen-poor blood.

B. Aortic stenosis involves narrowing of the aortic valve but does not typically result in cyanosis in the same way as Tetralogy of Fallot.

C. Patent ductus arteriosus (PDA) involves a connection between the aorta and pulmonary artery but does not cause cyanosis from mixing to the extent seen in the Tetralogy of Fallot.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["C"]

Explanation

After a cardiac catheterization procedure, it is essential to restrict activity and keep the affected extremity immobilized to prevent complications such as bleeding and hematoma formation at the catheter insertion site. Encouraging play and activity can increase the risk of disrupting the catheter site or causing bleeding.

The other interventions are generally appropriate after a cardiac catheterization procedure:

A. Putting pressure above the catheter site for first signs of bleeding: This is a standard procedure to monitor for any bleeding at the catheter site and is an appropriate intervention.

B. Regularly check the pulses and temperature of the affected extremity: Monitoring pulses and temperature is important to assess for adequate circulation and early detection of any vascular complications.

D. Encouraging the parents to ambulate with the child 3 hours, or the soonest possible time, after the procedure to prevent blood clots: Early mobilization can help prevent blood clots, and it is generally a recommended intervention following cardiac catheterization.

E. Monitor cardiac function and oxygen saturation: Continuous monitoring of cardiac function and oxygen saturation is crucial to detect any immediate post-procedure complications and ensure the child's cardiovascular stability.

A. Vomiting for 2 days B. A recent episode of pharyngitis C. Lack of interest in food D. A fever that started 3 days ago

Correct Answer is B

Explanation

When obtaining the history of a child with suspected rheumatic fever, the nurse should consider the following information to be most significant:

B. A recent episode of pharyngitis.

Explanation:

Rheumatic fever often follows an untreated or inadequately treated streptococcal pharyngitis (strep throat) infection caused by Group A Streptococcus bacteria. Therefore, a recent episode of pharyngitis is a key piece of information in the context of rheumatic fever. It is important to assess whether the child had a sore throat, fever, and other symptoms of streptococcal infection that may have triggered the development of rheumatic fever.

While the other symptoms (vomiting, lack of interest in food, fever) may be important for the overall assessment and management of the child, they are not as directly associated with the development of rheumatic fever as a recent episode of pharyngitis caused by Group A Streptococcus. Rheumatic fever is an autoimmune response to untreated streptococcal infection, and its diagnosis is often linked to the presence of preceding streptococcal pharyngitis.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)

Correct Answer is ["C"]

Explanation

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most

Correct Answer is B

Explanation

An 8-month-old infant has a hypercyanotic spell while blood is being drawn. What is the priority nursing action?

Nick was diagnosed with Hypoplastic Left Heart Syndrome. Which of the following responses should the nurse educate his parents regarding the treatment of this disease?

Which of the following would Nurse Tony supposed to regard as a cardinal manifestation or symptom of digoxin toxicity to his patient Clay diagnosed with heart failure?

The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?

A 5-year-old patient is brought into the Emergency Room and is diagnosed with an Acute Kidney injury (AKI). Which findings indicate this diagnosis?

The nurse notes that a child has lost 8 pounds after 4 days of hospitalization for acute glomerulonephritis. What is most likely the cause of the weight loss?

Which of the following options gives a nurse the most accurate diagnostic picture of a cardiac issue?

in a non-potty trained child with nephrotic syndrome is the best way to detect fluid retention?