The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. Which nursing diagnosis is appropriate for this child?
A)Hypothermia related to decreased metabolic state
B)Acute pain related to the effects of a congenital heart defect
C)Ineffective tissue perfusion (peripheral) related to cyanosis secondary to congenital heart defect
D)Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow

Question

Quizplus · Accepted Answer

VSD causes increased pulmonary blood flow leading to pulmonary congestion, which can impede gas exchange. This results in impaired gas exchange, making option D the most appropriate nursing diagnosis. Hypothermia is not a common manifestation of VSD, eliminating option A. Congenital heart defects do not directly cause pain, eliminating option B. While cyanosis may be present, it is not the primary issue related to VSD, making option C an incorrect choice.

The Nurse Has Admitted a Child with a Ventricular Septal