Congenital Heart Defects in Children · NCLEX Exam

A 3-year-old child is postoperative for CHD repair. The nurse notes persistent periorbital edema, hepatomegaly and poor weight gain. Which nursing diagnosis is most appropriate?

  1. Deficient fluid volume related to losses
  2. Impaired gas exchange related to congestion
  3. Imbalanced nutrition: less than body requirements
  4. Risk for impaired skin integrity from edema
Show answer and explanation

Correct answer: Imbalanced nutrition: less than body requirements

The child shows signs of poor growth and nutrition (weight gain poor) likely due to increased metabolic need and cardiac inefficiency; thus imbalanced nutrition is appropriate.

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