The nurse is caring for a newborn diagnosed with an atrial septal ...

[Beheh]

The nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). The parents voice concern and state, I can't believe this is happening. Will our child be okay? What is the nurse's best response?
 
  A) If the defect isn't treated it can cause problems such as pulmonary hypertension, heart failure, atrial arrhythmias, or stroke.
  B) While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the doctor.
  C) Since there are no symptoms being exhibited right now, your child will likely not require surgery until the age of 3 years.
  D) Most children have no symptoms of this defect.

Question 2

A child with suspected dyslipidemia undergoes laboratory testing. The nurse is reviewing the results. Which finding would the nurse interpret as supporting the diagnosis? Select all that apply.
 
  A) Total cholesterol level of 150 mg/dL
  B) Total cholesterol level of 180 mg/dL
  C) Total cholesterol level of 220 mg/dL
  D) LDL level of 90 mg/dL
  E) LDL level of 120 mg/dL
  F) LDL level of 140 md/dL

[Koolkid240]

Answer to Question 1

Ans: B
While all responses supply correct information about the disorder, the best response is, While each case is different, the majority of these defects correct on their own. Let's see what the tests show, then speak with the doctor. This individualizes the response to this child, offers realistic hope, and verifies that the physician will need to be consulted to answer questions regarding prognosis.

Answer to Question 2

Ans: C, F
A total cholesterol level over 200 mg/dL and LDL level above 130 mg/dL are considered high and would support the diagnosis of dyslipidemia. Total cholesterol levels between 170 to 199 mg/dL and LDL levels between 110 to 129 mg/dL are considered borderline. Total cholesterol levels less than 170 mg/dL and LDL levels less than 110 mg/dL are acceptable in children.

[Beheh]

Thank you

[Koolkid240]

Happy to help you