During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life.
We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle. Which nursing diagnosis would the nurse identify as most appropriate?
A) Risk for delayed growth and development related to necessary treatments
B) Deficient knowledge related to the care of a child with congenital heart disease
C) Interrupted family processes related to demands of caring for the ill child
D) Fear related to infant's cardiac condition and need for ongoing care
Question 2
The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. Which of the following might alert the nurse to a potential problem with the child's sensory development?
A) The toddler places the nurse's stethoscope in his mouth.
B) The toddler's vision tests at 20/50 in both eyes.
C) The toddler does not respond to commands whispered in his ear.
D) The toddler's taste discrimination is not at adult levels yet.
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