The nurse is analyzing data collected from the assessment of a child with a congenital heart defect that decreases pulmonary blood flow. Which of the following nursing diagnoses would be applicable for this client?
1. Excess Fluid Volume
2. Risk for Infection related to engorged pulmonary vasculature
3. Interrupted Family Processes
4. Decreased Cardiac Output
4. Decreased Cardiac Output
Rationale:
Nursing diagnoses seen in clients with congenital heart defects that decrease pulmonary blood flow include decreased cardiac output, risk for infection related to unfiltered bacteria in the blood, caregiver role strain, activity intolerance, and delayed growth and development. Excess fluid volume, risk for infection related to engorged pulmonary vasculature, and interrupted family processes are nursing diagnoses seen in the care of a client with a congenital heart defect that increases pulmonary blood flow.
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