Exam 2

Question 1

Nursing Dx

CYANOTIC cardiac defects

Answer 1

1. Ineffective cardiopulmonary tissue perfusion
2. At risk for infection
3. Risk for imbalanced nutrition: less than body requirements
4. Risk for impaired gas exchange
5. Risk for decreased CO

Question 2

Nursing Dx

acyanotic

cardiac defects

Answer 2

Risk for:

1. Anxiety
2. Ineffective family coping
3. imapired growth and development
4. Infection
5. Imbalanced nutrition: less than body requirements
6. Impaired gas exchange

Question 3

Nursing Dx for RF

Answer 3

1. Risk for cardiac injury
2. Pain
3. Risk for knowledge deficits r/t illness

Question 4

Nursing Dx for

Middle airway disorders

Answer 4

1. Fear/ anxiety r/t increased work of breathing
2. Risk of ineffective breathing pattern
3. Ineffective airway clearance
4. At risk for hypoxia
5. At risk for fluid deficit