The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Swelling in all extremities.

Frequent lung infections.

Standard weight and growth percentile.

Dyspnea.

Heart murmur.

Answer and Explanation

Correct Answer : B,D,E

A.   Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B.   Frequent lung infections are common in children with VSD due to pulmonary congestion.
C.   Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D.   Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E.   A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

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Correct Answer is B

Explanation

A. The integumentary system may be involved in Kawasaki disease with skin changes, but the cardiovascular system is the most important system to monitor due to the risk of coronary artery aneurysms.
B. Cardiovascular is correct. Kawasaki disease can lead to coronary artery aneurysms, myocarditis, and other cardiovascular complications.
C. The gastrointestinal system is less involved but can show symptoms like abdominal pain, diarrhea, or vomiting.
D. Respiratory involvement is not a primary concern in Kawasaki disease, although respiratory symptoms like cough may occur.

A. Administration of nonsteroidal anti-inflammatory drugs (NSAIDs) for pain management B. Restriction of weight-bearing activities to prevent further damage C. Prescription of crutches for mobility assistance D. Application of ice packs to reduce inflammation E. Immediate referral to an orthopedic specialist for evaluation F. Application of a heat pack to relieve muscle tension

Correct Answer is ["B","C","E"]

Explanation

A. NSAIDs may help with pain management, but they are not the primary treatment for SCFE.
B. Restricting weight-bearing activities is crucial to prevent further damage and complications to the affected hip joint.
C. Crutches may be prescribed to assist with mobility and prevent weight-bearing on the affected hip.
D. Ice packs may reduce inflammation but are secondary to more important interventions like weight restriction and orthopedic referral.
E. Immediate referral to an orthopedic specialist is necessary for appropriate diagnosis and management, including possible surgery.
F. Heat packs are not recommended for SCFE because they could increase blood flow and swelling in the affected area.

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The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to this diagnosis?

Correct Answer is B

Explanation

A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

Correct Answer is ["B","C","E"]

Explanation

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