Exam 3 Mandy's quiz

An infant is admitted to the pediatric unit with the diagnosis of heart failure. What should the nurse include in the infant's plan of care? Increase the infant's fluid intake Offer the infant small, frequent meals Position the infant flat on its back Measure the infant's head circumference

Offer the infant small, frequent meals

What are the major reasons that the pediatric population is more sensitive to drugs when compared to adults? Select all that apply. Protein binding Hepatic drug metabolism Blood-brain barrier Renal drug excretion Age

Protein binding Hepatic drug metabolism Blood-brain barrier Renal drug excretion

The nurse assesses a newborn and observes central cyanosis. What type of congenital heart defect usually results in central cyanosis? Obstruction of blood flow between the left and right sides of the heart Shunting of blood from right to left Obstruction of blood flow from the left side of the heart Shunting of blood from left to right

Shunting of blood from right to left

During the initial assessment of a newborn the nurse suspects a congenital heart defect. Which clinical manifestations support this suspicion? Select all that apply. Short periods of apnea Sternal retraction Cyanotic hands and feet Nasal flaring Heart rate of 160 beats/min. Grunting respirations

Sternal retraction Nasal flaring Grunting respirations

A 6-month-old infant has a congenital right-to-left shunt defect of the heart. What clinical findings are expected when the nurse completes a history and physical assessment and reviews the child's laboratory reports? Select all that apply. Tissue hypoxia Frequent respiratory infections Orthopnea Bounding pulses in all extremities Increased hypoxia

Tissue hypoxia Increased hypoxia

A 4-month-old infant is admitted to the pediatric unit with a diagnosis of congestive heart failure. Which nursing assessment would most accurately demonstrate improvement in the infant's condition? Decreased tremors Increased hours of sleep More rapid heart rate within 2 days Weight loss during the next 2 days

Weight loss during the next 2 days

An infant with a cardiac defect is fed in the semi-Fowler position. After the nurse feeds and burps the infant and changes the infant's position, the infant has a bowel movement and almost immediately becomes cyanotic, diaphoretic, and limp. Which activity most likely caused the infant's response? Bowel movement Position change Feeding burping

Bowel movement

A client with left ventricular heart failure is taking digoxin 0.25 mg daily. What changes does the nurse expect to find if this medication is therapeutically effective? Select all that apply. Jugular vein distention Reduced heart murmur Tachycardia Decreased pulse rate Decreased edema Diuresis

Decreased pulse rate Decreased edema Diuresis

An infant who has a congenital heart defect with left-to-right shunting of blood is admitted to the pediatric unit. What early sign of heart failure should the nurse identify? Restlessness Increased respiratory rate Cyanosis Decreased heart rate

Increased respiratory rate

An infant with tetralogy of Fallot becomes cyanotic and dyspneic after a crying episode. In what position should the nurse place the infant to relieve the cyanosis and dyspnea? Lateral Sims Semi-Fowler Orthopneic Knee Chest

Knee Chest

A nurse is caring for an infant with heart failure. What treatment does the nurse most likely anticipate in the care of this infant? Aggressive intravenous fluid infusions Open heart surgery Medications prescribed for both children and adults Cardiac stress test

Medications prescribed for both children and adults

A young child from a developing country is admitted to the pediatric unit for surgery to correct a congenital heart defect. The mother asks the nurse why her child squats after exertion. The nurse responds, in a language that the mother understands, that this position does what? Reduces how hard the heart must work Helps more blood return to the heart Improves walking capacity and hip mobility Decreases the number of muscle aches

Reduces how hard the heart must work

A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? Select all that apply. Foreman ovale Ductus arteriosis Mitral valve Pulmonary veins

Foreman ovale Ductus arteriosis

A nurse teaches the parents of an infant with a cardiac defect how to detect impending heart failure. What should the parents be taught to identify as an early sign? Distended neck veins Slowed respirations Increased heart rate Increased urine output

Increased heart rate

What would the nurse tell the parents is the acceptable range of heart beats per minute for a preschooler? 60-100 80-110 90-140 75-100

80-110