Author Question: A child has a large ventricular septal defect (VSD) with left-to-right shunting. Which information ... (Read 39 times)

vicotolentino · **on:** Jun 28, 2018

A child has a large ventricular septal defect (VSD) with left-to-right shunting. Which information about VSDs does the faculty member explain to the nursing student? (Select all that apply.)

A.
The child will have obvious cyanosis.
B.
A harsh, pansystolic murmur is heard.
C.
This is the most common congenital heart defect.
D.
Some VSDs can close spontaneously.
E.
Transcatheter closure is common.

Question 2

An infant has been diagnosed with pulmonic stenosis. Which manifestations does the nurse document as normal findings for this condition? (Select all that apply.)

A.
Cough
B.
Dyspnea
C.
Enlarged liver
D.
Puffy eyelids
E.
Retractions

nicoleclaire22 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B, C, D
A VSD is the most common congenital heart defect and is one of the mildest forms. The murmur of a VSD is harsh, pansystolic, and heard best at the lower left sternal border. Some VSDs can close spontaneously; those that need invasive closure must be surgically repaired. Presently, transcatheter closure is not available.

Answer to Question 2

ANS: C, D
Right-sided heart failure occurs with pulmonic stenosis. Manifestations include hepatomegaly (enlarged liver) and puffy eyelids. Cough and dyspnea are more likely due to left-sided heart failure. Retractions can occur with respiratory distress despite the cause.