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The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:

A.

Place him in knee-chest position

B.

Have him lie prone, being sure he can breathe easily

C.

Have him lie supine with the head turned to one side

D.

Place him in semi-fowler's position in an infant seat

Answer and Explanation

The Correct Answer is A

A. The knee-chest position increases systemic vascular resistance, which helps to divert more blood to the pulmonary circulation, improving oxygenation in a child experiencing a "tet spell" or hypercyanotic episode.

B. The prone position does not help in relieving cyanosis and dyspnea in Tetralogy of Fallot.

C. The supine position with the head turned does not assist in improving oxygenation during a cyanotic episode.

D. The semi-Fowler's position may aid breathing but is less effective than the knee-chest position in managing cyanotic spells.


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Related Questions

Correct Answer is C

Explanation

A. Enlarged mandibular growth is not characteristic of sickle-cell anemia.

B. Depigmented areas on the abdomen are not associated with sickle-cell anemia.

C. Slightly yellow sclera (jaundice) is consistent with sickle-cell anemia due to the breakdown of red blood cells, which can lead to an increased level of bilirubin.

D. Increased growth of long bones is not typically associated with sickle-cell anemia; instead, there may be pain and deformities related to sickle cell crises.

Correct Answer is A

Explanation

A. Coughing helps to clear mucus from the airways, and suppressing it can lead to complications such as mucus buildup and infection.

B. Antibiotics are not prescribed for viral infections like the common cold unless there is a secondary bacterial infection.

C. Ear pulling may indicate ear discomfort or infection, but it is not a typical response to nasopharyngitis alone.

D. It is normal for young children to have multiple colds per year due to their developing immune systems.

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