In caring for a patient with Tetralogy of Fallot, the nurse understands that during a "tet" spell, the following nursing intervention will reduce the symptoms of this disorder
1. Increase the oxygen level of the child
2. Set the infant in an upright position
3. Bounce or pat the child until they are consoled.
4. Place infant in a knee-chest position
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Feedback
1. While this may improve oxygenation, it will not alleviate the symptoms of the disorder.
2. This will have no effect on the clamping down of the vasculature.
3. Although there is an emotional component to the "tet" spell, this will not alleviate the symptoms of the disorder.
4. Placing the child in a knee-chest position will aid in returning the blood flow back to the heart and improving the cyanosis. Flexing the legs decreases venous flow from the lower extremities and decreases shunting through the ventricular septal defect. It increases vascular resistance and increases pressure in the left ventricle.
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The nurse is working the triage, phone answering questions about the radiologic disaster. When in the fallout period of the disaster, which suggestion is most appropriate?
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The nurse is preparing a patient with a suspected latex allergy for the radioallergosorbent test (RAST). Which of the precautionary steps is most important for the nurse to follow?
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