A 6-month-old infant presents to the clinic with failure to ...

[gonzo233]

A 6-month-old infant presents to the clinic with failure to thrive, a history of frequent respiratory infections, and increasing exhaustion during feedings.
 
  On physical examination, a systolic murmur is detected, no central cyanosis, and chest radiography reveals cardiomegaly. An echocardiogram is done that shows left-to-right shunting. This assessment data is characteristic of what?
  a. Tetralogy of Fallot
  b. Coarctation of the aorta
  c. Pulmonary stenosis
  d. Ventricular septal defect

Question 2

The parent of 16-month-old child asks, What is the best way to keep my child from getting into our medicines at home? What should the nurse advise?
 
  a. All medicines should be locked securely away.
  b. The medicines should be placed in high cabinets.
  c. Your child just needs to be taught not to touch medicines.
  d. Medicines should not be kept in the homes of small children.

[stallen]

Answer to Question 1

ANS: D
Heart failure is common with ventricular septal defect that causes failure to thrive, respiratory infections, and an increase in exhaustion during feedings. There is a characteristic murmur. The other defects do not have left-to-right shunting.

Answer to Question 2

ANS: A
The major reason for poisoning in the home is improper storage. Toddlers can climb, unlatch cabinets, and obtain access to high-security places. For medications, only a locked cabinet is safe. Toddlers can climb using furniture. High places are not a deterrent to an exploring toddler. Toddlers are not able to generalize that all the different forms of medications in the home may be dangerous. Keeping medicines out of the homes of small children is not feasible because many parents require medications for chronic or acute illnesses. Parents must be taught safe storage for their home and when they visit other homes.

[gonzo233]

Thank you

[stallen]

Happy to help you