The parents of a 6-year-old express concern over their child's ...

[swpotter12]

The parents of a 6-year-old express concern over their child's increased complaints of fatigue. On questioning, the parents state that their child is getting 8 to 10 hours of sleep. The nurse informs the parents that:
 
  a. This is an adequate amount of sleep
  b. The child is not getting enough sleep
  c. The child is getting too much sleep
  d. The child needs a nap at noon

Question 2

In caring for a patient with Tetralogy of Fallot, the nurse understands that during a tet spell, the following nursing intervention will reduce the symptoms of this disorder.
 
  1. Increase the oxygen level of the child
   2. Set the infant in an upright position
   3. Bounce or pat the child until they are consoled.
   4. Place infant in a knee-chest position

[amit]

Answer to Question 1

B
A 6-year-old child needs 11 to 13 hours of sleep each night. The child is not getting enough sleep. A 6-year-old is likely to be in first grade, so a nap is not possible.

Answer to Question 2

4
Feedback
1. While this may improve oxygenation, it will not alleviate the symptoms of the disorder.
2. This will have no effect on the clamping down of the vasculature.
3. Although there is an emotional component to the tet spell, this will not alleviate the symptoms of the disorder.
4. Placing the child in a knee-chest position will aid in returning the blood flow back to the heart and improving the cyanosis. Flexing the legs decreases venous flow from the lower extremities and decreases shunting through the ventricular septal defect. It increases vascular resistance and increases pressure in the left ventricle.

[swpotter12]

Excellent

[Jossy]

TYSM