The parent of a 1-year-old child with tetralogy of Fallot asks ...

[justinmsk]

The parent of a 1-year-old child with tetralogy of Fallot asks the nurse, Why do my child's fingertips look like that? On what understanding does the nurse base a response?
 
  a. Clubbing occurs as a result of untreated congestive heart failure.
  b. Clubbing occurs as a result of a left-to-right shunting of blood.
  c. Clubbing occurs as a result of decreased cardiac output.
  d. Clubbing occurs as a result of chronic hypoxia.

Question 2

The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. Which statement by the father leads the nurse to determine he understood the instructions?
 
  a. If the baby turns blue, I will hold him against my shoulder with his knees bent up toward his chest.
  b. If the baby turns blue, I will lay him down on a firm surface with his head lower than the rest of his body.
  c. If the baby turns blue, I will immediately put the baby upright in an infant seat.
  d. If the baby turns blue, I will put the baby in supine position with his head elevated.

[Li Jun]

Answer to Question 1

ANS: D
Clubbing of the fingers develops in response to chronic hypoxia.

Answer to Question 2

ANS: A
In the event of a paroxysmal hypercyanotic or tet spell, the infant should be placed in a knee-chest position.

[justinmsk]

TYSM

[phuda]

Excellent