NursingOS EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

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Nursing Care: Congenital Heart Disease and Cardiac An vc vc vc vc vc vc vc




omalies 2026 A+ GRADE ASSURED COMPLETE SOLUTIO vc vc vc vc vc vc




NS AND VERIFIED ANSWERS (F8AF2)
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QUESTION 1 vc




Term
ANSWER

Definition



QUESTION 2 vc




Physical Examination Findings vc vc



The nurse is reviewing the health history and physical examination of a child diagnosed
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with heart failure. What assessment findings should the nurse expect to find? Select all t
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hat apply. Tiring easily when eating Crackles on lung auscultation
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Bradycardia Shortness of breath when playing Tachycardia
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ANSWER

A child with heart failure will be unable to keep up with the physical and metabolic demands on the bo
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dy, especially during any physical exertion. As a result, routine activity such as eating will cause a child t
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o tire easily. Any physical activity such as playing can result in shortness of breath. Also, a child with he
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art failure will have pulmonary and systemic venous congestion that includes adventitious breath sound
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s and edema. Heart failure impairs myocardial functioning, so clients will experience tachycardia, not br
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adycardia.



QUESTION 3 vc




Home Oxygen A 2-year- vc vc vc



old with a congenital heart defect requires home oxygen as part of the treatment plan. W
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hat should the nurse include in the caregiver teaching?
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The need to maintain the child on bedrest How to draw blood for arterial blood gasses
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Signs and symptoms of oxygen toxicity
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Promoting mobility while providing supplemental oxygen
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, ANSWER

Mobility will promote growth and development. Bedrest is unnecessary. The focus should be on client m
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anagement, not symptoms of complications. The parents would not be drawing arterial blood gasses.
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QUESTION 4 vc




Pediatric Heart Failure: Assessment vc vc vc



A nurse is caring for a child who has been diagnosed with heart failure. Which assessme
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nt findings should the nurse expect? Select all that apply. Hypotension Peripheral edema
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Cool extremities Bradycardia Increased urinary output Nasal flaring
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ANSWER

Bradycardia and increased urine output are uncommon findings in a child with heart failure since the h
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eart is not working efficiently leading to decreased cardiac output and a rapid pulse with decreased ren
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al blood flow and urine output.
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QUESTION 5 vc




Tetralogy of Fallot vc vc



When teaching the caregivers of a child diagnosed with Tetralogy of Fallot about this co
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ndition, which cardiac defects should the nurse describe? Select all that apply.
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Atrial septal defect Aortic valve stenosis Overriding aorta Ventricular septal defect Pulm
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onary stenosis Right ventricular hypertrophy
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ANSWER

Tetralogy of Fallot is a congenital heart defect (CHD) made up of four defects within the heart. There is
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a hole in the heart's septum between the two ventricles called a ventricular septal defect (VSD). This ca
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uses deoxygenated blood from the right ventricle to mix with oxygenated blood in the left ventricle. As a
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result of pulmonary stenosis, deoxygenated blood is restricted from moving into the right ventricle and
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unable to become oxygenated in the lungs. The aorta is overriding and opens to both the left and right
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ventricles, rather than just the left ventricle. The wall of the right ventricle is thicker than normal, result
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ing in ventricular hypertrophy.
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QUESTION 6 vc




Tetralogy of Fallot: Prioritizing Findings The nurse is assessing a 3-year-
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old with uncorrected Tetralogy of Fallot who is crying. Which finding requires immediat
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e action?
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There is marked clubbing of all the child's nail beds The apical pulse rate is 118 beats/
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minute The lips and oral mucosa are dusky in color A loud systolic murmur is heard in t
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he pulmonic area
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ANSWER

Circumoral cyanosis indicates a drop in the partial pressure of oxygen that may precipitate seizures and
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loss of consciousness. The nurse should rapidly place the child in a knee-
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