The nurse uses a diagram to demonstrate the four cardiac defects present in tetralogy of Fallot, which are: (Select all that apply.)
a. Atrial septal defect
b. Hypertrophy of the right ventricle
c. Pulmonary stenosis
d. Overriding aorta
e. Ventricular septal defect
B, C, D, E
Tetralogy of Fallot has four defects: pulmonary stenosis; hypertrophy of the right ventricle; ventricular septal defect; and aortic dextraposition, which causes it to override both ventricles.
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The nurse is providing care to a 1-month-old infant who is brought to the pediatric clinic for projectile vomiting. Which data collected during the assessment process would support the diagnosis of pyloric stenosis?
Select all that apply. A) Blood-tinged vomit B) Low-grade fever C) Persistent hunger D) Peristaltic wave E) Consistent weight gain
The nurse questions which activity for the client with thrombocytopenia?
a. Application of warm compresses to bruises b. Cleaning teeth with a soft-bristled brush c. Taking acetaminophen (Tylenol) for pain d. Using stool softeners daily for constipa-tion
Name and give the abbreviations for three isotonic solutions commonly ordered
What will be an ideal response?
The nurse is reviewing medical records for several patients with kidney problems and actual or potential for hypertension. Which patient does the nurse expect to be screened for renal artery stenosis?
a. Patient with a history of kidney stones b. Patient taking three categories of antihypertensive drugs at high doses c. Patient with newly diagnosed hypertension d. Patient with a history of frequent urinary tract infections