An infant has been diagnosed with a mild heart defect. Surgery to correct the defect will not be performed for at least two years. The nurse teaches the parents that a child with a mild heart defect should:
1. Have a low-grade fever until the defect is repaired.
2. Maintain normal activity.
3. Not develop congestive heart failure.
4. Not be given antipyretics.
2
Rationale 1: Low-grade fever is not a normal finding in a child with a mild cyanotic heart defect and could be a sign of infective endocarditis.
Rationale 2: A child with a mild cyanotic heart defect should be treated as normally as possible without activity adjustment.
Rationale 3: Any child with a heart defect could develop congestive heart failure.
Rationale 4: Fevers are treated with antipyretics so that dehydration is avoided.
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