A 12-year-old child has been diagnosed with long QT syndrome. Which teaching by the nurse is most important?
A.
No driving until rhythm disturbances are controlled for 6 months.
B.
Parents and siblings of the child need to be tested for the disorder.
C.
The child cannot participate in any contact sports for a year.
D.
Watch the child for symptoms of heart failure or infection.
ANS: B
Parents and siblings need to be tested for long QT syndrome as soon as possible. It is true the child has driving restrictions until the rhythm is controlled for 6 months, but for a 12-year old, this is not priority information. Sports may be curtailed until the rhythm is controlled, but there is no specific restriction that lasts for 1 year. Heart failure and infection are not related.
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