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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D"]
Explanation
a) Infection: Infections can trigger lupus flare-ups due to the body's immune response.
b) Danger: Not typically considered a trigger for lupus flare-ups.
c) Seasonal protein: Not a recognized trigger for lupus flare-ups.
d) Stress: Emotional or physical stress can exacerbate symptoms in individuals with lupus.
Correct Answer is D
Explanation
a) Hyperthermia: Hyponatremia can disrupt temperature regulation, but it doesn't typically cause hyperthermia directly.
b) Respiratory distress: While severe cases might cause neurological issues affecting breathing, it's not the primary concern in hyponatremia.
c) Bradycardia: Though possible due to neurological complications, it's not the primary issue to anticipate in hyponatremia.
d) Seizure: Hyponatremia significantly affects brain function due to electrolyte imbalance, predisposing the child to seizures.
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