Free PN NCLEX Practice Questions Practice Question
A 4-year-old child with Down syndrome is admitted to the hospital with pneumonia. She has a heart murmur and appears to be in respiratory distress. Her mother asks why her child has a heart murmur. What is the best nursing response?
Correct Answer: D
Rationale: Option D is accurate as it acknowledges the high prevalence of congenital heart defects in children with Down syndrome, explaining that the murmur may be exacerbated by her current illness. This response provides relevant information while being sensitive to the mother's concerns.
Option A incorrectly attributes the murmur solely to pneumonia, neglecting the underlying heart condition often present in children with Down syndrome.
Option B downplays the significance of heart murmurs without addressing the child's specific context, which could lead to misunderstanding.
Option C misrepresents the ductus arteriosus, which typically closes after birth, making it unlikely to be functional again in this scenario.
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