A child with congenital heart disease is more prone to develop ...

[Destiiny22]

A child with congenital heart disease is more prone to develop which complication?
 
  1. Urinary disturbances
   2. Bleeding tendencies
   3. Repeated abdominal distention
   4. Repeated respiratory infections

Question 2

A 16-year-old soccer player comes into the ER with left knee effusion and extreme pain. The child claims that while kicking the ball away from an opponent, she felt a pop and fell to the ground. She had to be assisted off the field.
 
  She is in the playoffs and wants to play again. X-rays are normal, but as the nurse, you know which of the following about sports injuries? 1. X-rays can help classify fractures, but cannot classify tissue, tendons, and ligaments.
   2. She probably has an ACL tear based on the symptoms of swelling, pain, inability to bear weight, and hearing a pop before she went down.
   3. She will need an MRI.
   4. She will need crutches and a knee immobilizer as well as to rest, ice, compress, and elevate the injury.

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Answer to Question 1

4
Feedback
1. Congenital heart disease does not cause urinary disturbances.
2. Congenital heart disease does not result in bleeding tendencies.
3. Congenital heart disease does not result in repeated abdominal distention.
4. Congenital heart disease does predispose the child to repeated respiratory infections due to pulmonary congestion.

Answer to Question 2

4
Feedback
1. The X-ray can see some damage to the ligaments and swollen areas.
2. The pop does not classify the injury.
3. A CT scan would help identify the injured area.
4. Care of acute sports-related injuries include PRICE: protect from further injury, rest, ice, compression, and elevation to relieve pain.