You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

Side lying

Knees to chest

Prone

Back

Answer and Explanation

The Correct Answer is B

a) Side lying: Unlikely to improve oxygenation significantly during a Tet spell.

b) Knees to chest: This position can help improve oxygenation by increasing systemic vascular resistance and decreasing right-to-left shunting in Tetralogy of Fallot during a Tet spell.

c) Prone: May not be ideal as it might interfere with breathing in a child experiencing a Tet spell.

d) Back: While the supine position is generally recommended for most situations, in a Tet spell, knee-to-chest positioning might be more beneficial for oxygenation.

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Correct Answer is A

Explanation

a) A high hemoglobin: Tricuspid atresia typically leads to decreased pulmonary blood flow, causing cyanosis and chronic hypoxemia, which can result in increased hemoglobin levels as the body compensates for low oxygen.

b) A prolonged PTT: While not typically associated with tricuspid atresia specifically.

c) A low hematocrit: Hematocrit levels might be normal or elevated due to chronic hypoxemia.

d) A low platelet count: Platelet count might not be directly affected by tricuspid atresia.

A. Toddlers play side-by-side, while preschoolers play cooperatively B. There are no differences C. Toddlers play house and adult roles, while preschoolers play mom and dad roles while playing house D. Toddlers play cooperatively, while preschool children prefer interactive games

Correct Answer is A

Explanation

a) Toddlers play side-by-side, while preschoolers play cooperatively: Toddlers typically engage in parallel play, being near each other but playing independently, whereas preschoolers start engaging in more cooperative play.

b) There are no differences: There are developmental differences in play between toddlers and preschoolers.

c) Toddlers play house and adult roles, while preschoolers play mom and dad roles while playing house: The described roles are not typically associated with toddlers.

d) Toddlers play cooperatively, while preschool children prefer interactive games: Toddlers generally engage less in cooperative play compared to preschoolers who are more capable of interactive play.

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You are caring for a 2-year-old child with tetralogy of Fallot that is experiencing a TET spell. What positioning will best promote oxygenation for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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