Difficulty: Medium
Average Score: 65%
Simulated
Passage / Scenario
A nurse is teaching home care to the parents of a preschool-age child who has heart failure.Which of the following information should the nurse include in the teaching?
Correct answer
A
Rationale
Correct Answer: A. Provide for periods of rest.
Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.
Incorrect Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.
Rationale: Rest is essential for children with cyanotic congenital heart disease to conserve energy and reduce oxygen demand on the heart. This can help prevent episodes of cyanosis and reduce the risk of complications. Providing periods of rest allows the child to recover from physical exertion and helps maintain stable oxygen levels.
Incorrect Choices:
B. Increasing oxygen flow rate until the child no longer has cyanosis is not appropriate as it can lead to oxygen toxicity and potential harm to the child.
C. Withholding digoxin if the child's pulse is greater than 100/min is incorrect as digoxin is typically indicated for heart conditions and should not be withheld based solely on heart rate.
D. Weighing the child once each month is not directly related to managing cyanotic congenital heart disease and may not be as crucial as providing periods of rest.