The nurse is assessing a toddler diagnosed with tetralogy of Fallot. Which clinical manifestations does the nurse anticipate during the physical assessment?
Select all that apply.
A) Palpable thrill in the pulmonic area
B) Nail clubbing
C) Cough
D) Apneic periods
E) Knee-chest position
Answer: A, B, E
Manifestations of tetralogy of Fallot include a palpable thrill in the pulmonic area, clubbing of the fingers due to reduce oxygenation, and the knee-chest position, which the child will perform to decrease the return of systemic venous blood to the heart. A cough and apneic periods are not manifestations of this congenital heart defect.
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