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 B
Explanation
a) Janeway spots: Janeway lesions are painless, small, erythematous or hemorrhagic macules found on the palms or soles, characteristic of infective endocarditis, not typically associated with rheumatic fever.
b) Polyarthritis 5 + joints: Polyarthritis involving multiple joints, often migrating, is a major manifestation of acute rheumatic fever.
c) Vomiting: While nausea and vomiting can occur, they are not specific to rheumatic fever.
d) Oster nodes: Osler nodes are tender nodules found in infective endocarditis, not typically seen in rheumatic fever.
Correct Answer is B
Explanation
a) Rationalization: Involves creating logical explanations to justify behaviors or situations, not necessarily linked to thumb-sucking after surgery.
b) Regression: This is a defense mechanism where individuals revert to an earlier stage of development when faced with stress or discomfort, such as thumb-sucking, bed-wetting, or clinging behavior.
c) Repression: Involves unconsciously blocking disturbing thoughts or feelings, not typically exhibited through thumb-sucking post-surgery.
d) Fantasy: Involves the use of imagination or daydreaming, not directly related to the observed behavior of thumb-sucking after surgery.
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