The Nurse Has Admitted a Child with a Ventricular Septal

Multiple Choice

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