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A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flow?

A.

Tricuspid atresia

B.

Patent ductus arteriosus

C.

Coarctation of the aorta

D.

Tetralogy of Fallot

Answer and Explanation

The Correct Answer is B

A. Tricuspid atresia typically leads to decreased pulmonary blood flow due to the absence of normal blood flow to the lungs.  

 

B. Patent ductus arteriosus results in increased pulmonary blood flow because it allows blood to flow from the aorta to the pulmonary artery, increasing the volume of blood going to the lungs.  

 

C. Coarctation of the aorta can cause decreased blood flow to the lower body, which may not directly relate to increased pulmonary blood flow.  

 

D. Tetralogy of Fallot is characterized by decreased pulmonary blood flow due to right ventricular outflow obstruction, making it not associated with increased pulmonary blood flow.  


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View Related questions

Correct Answer is A

Explanation

A. Giving pancreatic enzymes before snacks and meals is essential for children with cystic fibrosis to help with digestion and nutrient absorption due to their pancreatic insufficiency.

B. Children with CF often require increased salt intake, especially during hot weather or heavy exercise, due to higher salt losses in sweat.

C. A child with CF typically needs a high-calorie, high-fat diet to meet their energy requirements and to support growth, rather than low-fat meals with limited protein.

D. Limiting fluid intake is not recommended; children with CF often need to stay well-hydrated to help manage thick secretions and promote overall health.

Correct Answer is B

Explanation

A. Administering IV fluids may be necessary but is not the first priority in managing a suspected airway emergency.

B. Placing the child on droplet precautions is the first action to take to prevent the spread of infection and protect healthcare workers, given the suspected diagnosis of epiglottitis.

C. Initiating IV antibiotics is essential but should follow ensuring that appropriate precautions and assessments are in place.

D. While obtaining an x-ray can confirm the diagnosis, the child's safety and airway management must be prioritized first to avoid potential respiratory distress.

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