Health Promotion and Maintenance
89. A nurse is caring for a child with tetralogy of Fallot. Which assessment findings should the nurse expect?
Select all that apply.
Health Promotion and Maintenance
89. A nurse is caring for a child with tetralogy of Fallot. Which assessment findings should the nurse expect?
Select all that apply.
. Ventricular septal defect (VSD).
. Atrial septal defect (ASD).
. Overriding aorta.
. Pulmonic stenosis.
. Right ventricular hypertrophy.
. Patent ductus arteriosus (PDA).
. Left-to-right shunting of blood.
. Aortic stenosis
Test-Taking Tip
The "tetra" in "tetralogy" signifies the number 4. Recall that there are four defects in the heart of a child with tetralogy of Fallot: VSD, pulmonic stenosis, an overriding aorta, and right ventricular hypertrophy.
Content Area: Child Health, Cardiovascular; Integrated Process: Nursing Process, Assessment; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Physiological Adaptation/Alterations in Body Systems
Health Promotion and Maintenance
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Answer 1 is correct because a VSD is one of the components of tetralogy of Fallot. Answer 2 is incorrect because an ASD is not a component of tetralogy of Fallot. Answer 3 is correct because an overriding aorta is one of the components of tetralogy of Fallot. Answer 4 is correct because pulmonic stenosis is one of the components of tetralogy of Fallot. Answer 5 is correct because right ventricular hypertrophy is one of the components of tetralogy of Fallot. Answer 6 is incorrect because a PDA is not a component of tetralogy of Fallot. Answer 7 is correct because the blood flows from left to right in a child with tetralogy of Fallot through the VSD. Answer 8 is incorrect because aortic stenosis is not a component of tetralogy of Fallot.