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colleen colleen
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12 years ago
The nurse has admitted a child with a ventricular septal defect (VSD) to the unit. An appropriate nursing diagnosis for this child is
1. Impaired Gas Exchange Related to Pulmonary Congestion Secondary to the Increased Pulmonary Blood Flow.
2. Deficient Fluid Volume Related to Hyperthermia Secondary to the Congenital Heart Defect.
3. Acute Pain Related to the Effects of a Congenital Heart Defect.
4. Hypothermia Related to Decreased Metabolic State.
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12 years ago
1... Because of the increased pulmonary congestion, impaired gas exchange would be an appropriate nursing diagnosis. Ventricular septal defects do not cause pain, fever, or deficient fluid volume.
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