You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?
Side lying
Knees to chest
Prone
Back
The Correct Answer is B
a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.
b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.
c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.
d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) Pulmonary constriction: Typically, not associated with tracheal deviation or air in the pleural space.
b) Smoke inhalation injury: Unlikely to cause tracheal deviation or air in the pleural space.
c) Pneumonia: Does not typically cause tracheal deviation or immediate hypotension.
d) Tension pneumothorax: Presents with air in the pleural space, tracheal deviation, respiratory distress, decreasing LOC, and can lead to hypotension due to compromised circulation.
Correct Answer is B
Explanation
a) The nonbiological father from the heterosexual father cohabitating with the family: While he may have a close relationship, legal consent might not be automatically granted without legal documentation or permission.
b) The divorced father from the binuclear family: the divorced father from a binuclear family can consent to treatment since he is a biologic parent to the baby.
c) The stepfather from the blended family: Emergency medical consent might require legal documentation or guardianship unless specifically granted through legal means.
d) The divorced father when the single parent mother has custody: Unless specified in custody documents, emergency medical consent might still require the custodial parent's approval or both parents' consent.
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