Answer to Question 1
D
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Ventricular septal defect is the most common type of congenital cardiac disorder. With this disorder, an opening is present in the septum between the two ventricles. Blood shunts from left to right across the septum impairing the efficiency of the heart because blood that should be forced into the aorta and out to the body from contraction of the left ventricle shunts back into the pulmonary circulation, resulting in right ventricular hypertrophy and increased pressure in the pulmonary artery. This disorder does not impair gas exchange, cause impaired skin integrity, or cause ineffective airway clearance.
Answer to Question 2
B
Feedback:
When a child returns from a cardiac catheterization, a pressure dressing will be present over the catheter insertion site. This dressing is snug and will be checked to ensure that no bleeding is occurring. The child may or may not be sleepy after the procedure. The child will not have bruising over the upper and lower extremities. Seizure precautions are not necessary after a cardiac catheterization.
The nurse can make observations about the patient's general appearance while talking with the p
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