Nursing Care of Child and Family – Cardiac Exam 2

A pediatric client and their family are being educated about the importance of adhering to the antibiotic regimen for the treatment of infective endocarditis. Which statement made by the client's caregivers demonstrates an understanding of the treatment regimen?

"Antibiotics are useful to help completely eradicate the bacteria in my child's body"

Family discharge teaching has been effective when the parent of a toddler diagnosed with Kawasaki disease states:

"I know she will be irritable for 2 months after her symptoms started."

Which statement by a parent of an infant with CHF who is being sent home on digoxin (Lanoxin) indicates the need for further education?

"I will mix the digoxin in some formula to make it taste better."

A child has been diagnosed with valvular disease following RF. During patient teaching, the nurse discusses the child's long-term prophylactic therapy with antibiotics for dental procedures, surgery, and childbirth. The parents indicate they understand when they say:

"She will need to take the antibiotics when she has such procedures for the rest of her life."

•The nurse is monitoring the daily weight of an infant with heart failure (HF). Which finding alerts the nurse to suspect fluid accumulation and thus the need to notify the registered nurse?

A weight gain of 1 lb in 1 day.

During a well-child checkup for an infant with TOF, the child develops severe respiratory distress and becomes cyanotic. The nurse's first action should be to:

Hold the child in knee-chest position to decrease venous blood return.

•A child is diagnosed with Tetralogy of Fallot becomes upset, cries, and thrashes around when a blood specimen is obtained. The child becomes cyanotic, and the respiratory rate increases to 44 breaths/minute. Which action should the nurse take first?

Place the child in a knee chest position.

Which physiological changes occur as a result of hypoxemia in CHF?

Polycythemia and clubbing.

•Which information should be included in discharge instructions for the parents of a 12-year-old diagnosed with Kawasaki Disease and being discharged home?

Take the child's temperature daily for several days.

Hypoxic spells in the infant with a CHD can cause which of the following? Select all that apply.

a. Polycythemia. b. Blood clots. c. CVA. d. Developmental delays. f. brain damage

The nurse assesses a child with rheumatic fever. Which initial physical finding indicates the development of carditis in a child with rheumatic fever?

heart murmur

The nurse develops the plan of care for a newly admitted 2-year-old child with the diagnosis of Kawasaki disease (KD). Which intervention should be the priority?

monitoring intake and output every hour

•An infant with congestive heart failure is receiving digoxin (Lanoxin). The nurse recognizes a sign of digoxin toxicity, which is:

vomiting

•A nurse is planning care for a 12-year-old child with rheumatic fever. The nurse should teach the parents to:

•Provide for adequate rest periods between activities.

The nurse completes discharge teaching with the family of an 8-week-old infant with congenital heart disease. What is the most important information for the nurse to convey regarding feeding?

Provide a higher calorie formula or fortified breast milk.