An infant has been diagnosed with a mild cyanotic heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild cyanotic heart defect should:
1. Maintain normal activity.
2. Be placed on bedrest.
3. Not be given antipyretics.
4. Have a low-grade fever until the defect is repaired.
1
Rationale:
1. A child with a mild cyanotic heart defect should be treated as normally as possible without activity adjustment.
2. Bedrest would not be recommended.
3. Fevers are treated with antipyretics so that dehydration is avoided.
4. Low-grade fever is not a normal finding in a child with a mild cyanotic heart defect, and could be a sign of infective endocarditis.
Implementation
Health Promotion and Maintenance
Application
Learning Outcome 26.4 Develop a nursing care plan for the child with a congenital heart defect cared for at home prior to corrective surgery.
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