HESI Case Study: Congenital Heart Disease | 66 question with complete solution graded A+

Meet the Client: Timmy Hartsell - Joan and Thomas Hartsell bring their 4-month-old son Timmy to the pediatric emergency department reporting that something is just not right with him. They can't really explain it, but they recognize that Timmy is just behaving differently. The healthcare provider (HCP) completes a thorough assessment and finds that Timmy is in congestive heart failure (CHF) and suspects that he has a ventricular septal defect (VSD), a congenital heart defect. Clinical Manifestations - Timmy is admitted to the pediatric unit for treatment of CHF and is to be seen by a pediatric cardiologist for further cardiac assessment. The nurse interviews Joan and Thomas and completes Timmy's admission assessment. The nurse understands that a child is experiencing heart failure when which symptoms are found? - - Cool extremities. -Peripheral edema. -Nasal Flaring. Which clinical manifestations would the nurse expect to assess in an infant diagnosed with ventricular septal defect (VSD)? - Tachypnea and grunting with intercostal and subcostal retractions. The nurse continues Timmy's admission assessment and obtains subjective data from Timmy's parents concerning his normal routine for feeding, bathing, and playing. - Which statement by Joan supports Timmy's diagnosis of CHF? - "Timmy never seems to get full even when I breastfeed him for a long time." Diagnostic Tests - The pediatric cardiologist schedules a cardiac catheterization for the next day. The nurse prepares the family and the client for the procedure by answering questions that the family is asking.