ATI RN
ATI Nur 223a Sect 4 Pediatrics Final Exam Questions
Extract:
Mother of a boy with Tetralogy of Fallot.
Question 1 of 5
The nurse would teach the mother of a boy with Tetralogy of Fallot that if the child suddenly becomes cyanotic and dyspneic, the mother should:
Correct Answer: A
Rationale: The correct answer is A: Place him in knee-chest position. This position helps improve oxygenation by increasing venous return to the heart and reducing the workload of the heart. By placing the child in knee-chest position, gravity assists in improving blood flow to the lungs, thus reducing cyanosis and dyspnea.
Choice B is incorrect as lying supine with the head turned to one side may not provide the same beneficial effects as the knee-chest position in improving oxygenation.
Choice C is incorrect because lying prone can further compromise the child's ability to breathe, especially in a sudden cyanotic and dyspneic episode.
Choice D is incorrect as placing the child in semi-Fowler's position in an infant seat may not be as effective in improving oxygenation as the knee-chest position.
In summary, the knee-chest position is the most appropriate choice in this scenario as it maximizes oxygenation and helps alleviate cyanosis and dyspnea effectively.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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