Author Question: Identify common characteristics in an assessment of a child with a truncus arteriosus heart defect. ... (Read 49 times)

SGallaher96 · **on:** Jun 27, 2018

Identify common characteristics in an assessment of a child with a truncus arteriosus heart defect. Select all that apply.

1. Cyanosis
2. Narrow pulse pressures
3. Grunting and retractions while breathing
4. Diaphoresis
5. Bradycardic

Question 2

The nurse listens very closely while conversing with a child with Down syndrome because the child has difficulty pronouncing words due to:

a. Intellectual disability
b. A large tongue
c. Poor muscle tone
d. Respiratory congestion

ririgirl15 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

1, 3, 4
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1. Cyanosis is present because of an incompetent truncal valve.
2. Pulse pressures widen with the disorder.
3. These reactions are present because of the lack of blood being oxygenated and the vascular resistance on the vessel going over the right and left ventricles.
4. Diaphoresis is present because of the increased workload on the heart and also due to vascular resistance.
5. The heart rate is usually within normal limits.

Answer to Question 2

B
The characteristic large tongue makes the speech of a child with Down syndrome difficult to understand. Down syndrome children are frequently ill with respiratory infections, but the infection does not unduly affect pronunciation.