When assessing clubbed fingers in an 8-year-old child with a mixed congenital cardiac defect, the nurse is aware that this sign is due to:
a. Intermittent hypertension
b. Shunting of the blood from left to right
c. Chronic hypoxia
d. Vasoconstriction
C
Chronic hypoxia in children with a mixed CHD causes pooling of the blood in the capillaries, which results in clubbing of the fingers.
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