Parents of a 3-year-old child with congenital heart disease are ...

[cherise1989]

Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on knowing that:
 
  a. The child needs opportunities to play with peers.
  b. The child needs to understand that peers' activities are too strenuous.
  c. Parents can meet all the child's needs.
  d. Constant parental supervision is needed to avoid overexertion.

Question 2

An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse's first action should be to:
 
  a. Assess for neurologic defects.
  b. Place the child in the knee-chest position.
  c. Begin cardiopulmonary resuscitation.
  d. Prepare the family for imminent death.

[polinasid]

Answer to Question 1

ANS: A
The child needs opportunities for social development. Children usually limit their activities if allowed to set their own pace and regulate their activities. The child will limit activities as necessary. Parents must be encouraged to seek appropriate social activities for the child, especially before kindergarten. The child needs to have activities that foster independence.

Answer to Question 2

ANS: B
The first action is to place the infant in the knee-chest position. Blow-by oxygen may be indicated. Neurologic defects are unlikely. The child should be assessed for airway, breathing, and circulation. Often calming the child and administering oxygen and morphine can alleviate the hypercyanotic spell; cardiopulmonary resuscitation is not necessary, and death is unlikely.

[cherise1989]

Excellent

[helenmarkerine]

Thanks for the timely response, appreciate it