CCRN Critical Care Nursing

Category - Pediatrics

Nurse Tammy is caring for a 3 year-old child after corrective surgery for Tetralogy of Fallot. The mother reports that the child has suddenly begun seizing. Tammy recognizes this problem is probably due to:
  1. cerebral vascular accident
  2. meningitis occure postoperatively
  3. reaction due to medications
  4. metabolic alkalosis
Explanation
Answer: A - Polycythemia occurs as a physiological reaction to chronic hypoxemia which commonly occurs in clients with Tetralogy of Fallot. Polycythemia and the resultant increased viscosity of the blood increase the risk of thromboembolic events. Cerebrovascular accidents may occur. Signs and symptoms include sudden paralysis, altered speech, extreme irritability or fatigue, and seizures.
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