Author Question: The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate ... (Read 61 times)

xroflmao · **on:** Jun 27, 2018

The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate nursing diagnosis for this child is

1. impaired gas exchange related topulmonary congestion secondary to the increased pulmonary blood flow.
2. deficient fluid volume related tohyperthermia secondary to the congenital heart defect.
3. acute pain related to the effects of acongenital heart defect.
4. hypothermia related to decreasedmetabolic state.

Question 2

The nurse is teaching the parents of a group of cardiac patients. The nurse includes in the information that any child who has undergone cardiac surgery

1. should be restricted from most playactivities.
2. should receive prophylacticantibio tics for any dental,oral,or upper-respiratory-tract procedures.should not receive routineimmunization s.
4. can be expected to have a fever forseveral weeks following the surgery.

tmlewis4706 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

Answer:1
Rationale:Because of the increased pulmonary congestion,impaired gas exchange would be an appropriate nursing diagnosis. Ventricular septal defects do not cause pain,fever,or deficient fluid volume.

Answer to Question 2

Answer:2
Rationale:Parents should be taught that the child should receive prophylactic antibiotics,according to the American Heart Association,to prevent
endocarditis. The child should live a normal and active life following repair of a cardiac defect.Immunization s should be provided according to the schedule,and any unexplained fever should be reported.