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

Answer and Explanation

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.

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Correct Answer is B

Explanation

a) Ineffective tissue perfusion: Though this might be a concern, the highest priority for an HIV-positive child is the risk of acquiring infections due to compromised immunity.

b) Risk for infection: HIV weakens the immune system, significantly increasing the risk of contracting infections. Preventing infections is the primary focus.

c) Risk for fluid volume deficit: While important, it's not the highest priority compared to the risk of infection due to HIV.

d) Ineffective thermoregulation: Not typically the primary concern for an HIV-positive child compared to the increased risk of infections due to the compromised immune system.

Correct Answer is {"dropdown-group-1":"C"}

Explanation

Coarctation of the aorta
Explanation: This condition involves a narrowing of the aorta, typically occurring just after the left subclavian artery. It causes higher blood pressure in the arms and lower blood pressure in the legs due to the obstruction of blood flow.
Patent ductus arteriosus
Explanation: This is a condition where the ductus arteriosus, a blood vessel in the fetal heart, does not close after birth. It usually causes increased blood flow to the lungs rather than a discrepancy between upper and lower body blood pressures.
Tetralogy of Fallot
Explanation: This congenital heart defect consists of four heart abnormalities. While it affects blood flow and oxygen levels, it does not typically cause a significant difference in blood pressure between the arms and legs.
Transposition of the great arteries
Explanation: This condition involves the aorta and pulmonary artery being switched. It leads to severe oxygenation issues but does not usually result in a notable difference in blood pressure readings between the arms and legs.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child with human immunodeficiency virus (HIV). Which nursing diagnosis is the highest priority for this child?

Correct Answer is B

Explanation

While doing a newborn assessment, the nurse finds the infants blood pressure in the arms is much higher than in the legs. The nurse suspects that the infant has dropdown

Correct Answer is {"dropdown-group-1":"C"}

Explanation

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