The nurse admits a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis for this child is the most appropriate?
1. Impaired Gas Exchange Related to Pulmonary Congestion Secondary to the Increased Pulmonary Blood Flow
2. Deficient Fluid Volume Related to Hyperthermia Secondary to the Congenital Heart Defect
3. Acute Pain Related to the Effects of a Congenital Heart Defect
4. Hypothermia Related to Decreased Metabolic State
Correct Answer: 1
Rationale: Because of the increased pulmonary congestion, Impaired Gas Exchange would be an appropriate nursing diagnosis. Ventricular septal defects do not cause pain, fever, or deficient fluid volume.
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