MOSBY CV

A parent brings a 2-month-old infant with down syndrome to the pediatric clinic for a physical and administration of immunizations. The nurse performs an initial physical assessment. Which clinical finding should alert the nurse to perform a further assessment?

Circumoral Cyanosis

What clinical manifestation of the tetralogy of Fallot should the nurse expect when caring for children with the diagnosis?

Clubbing of fingers

What is a common finding that the nurse can identify in most children with symptomatic cardiac malformations?

Delayed Physical Growth

The parents of a child who is scheduled for open-heart surgery ask why their child must be subjected to chest tubes after surgery. What should the nurse consider before responding in language the parents will understand?

Drainage of air and fluid will be facilitated

A 1-year-old child has a congenital cardiac malformation that causes right-to-left shunting of blood through the heart. What clinical findings should the nurse expect?

Elevated Hematocrit

A young child with coarction of the aorta. What dies the nurse expect to identify when taking the child's vital signs?

Elevated radial blood pressure

An infant who had cardiac surgery for a congetial discharge is to be discaharged. What should the nurse emphasize to the parents when they administer the perscribed antibiotic?

Ensure that antibiotic is administed as perscribed

A nurse is caring for a child with a cardiac malformation associated with left-to-right shunting. What does the nurse consider to be the major characteristics of this type of congential disorder?

Increased blood to the lungs

A 2-week-old infant is admitted with a tentative diagnosis of a ventricular sepatal defect. The parents report that thier baby has has difficulty feeding since coming home after the birth. What should the nurse consider before responding.

Ineffective sucking and swallowing may be a early indication of a heart defect

After a discussion with the health care provider, the parents of an infant with patent ductus arteriosus (PDA) ask the nurse to explain once again what PDA is. How should the nurse respond?

It is a connection between the pulmonary artery and the aorta

A 3-year-od child is scheduled for a cardiac catheterization. What is the priority nursing care after the procedure?

Monitor site for bleeding

A nurse is reviewing the cliical records of infants and children with cardiac disorders who developed heart failure. What did the nurse determine is the last sign of heart failure?

Peripheral Edeam

94. A 5 month old infant is brought to the pediatric unit clinic for routinely monthly. what assessment alerts the nurse to notify the health care provider.

Respiratory rate of 50 breaths per minute

Which cardiac defects are associated with tetralogy of Fallot?

Right ventricular hypertrophy, Ventricular septal defect, pulmonic stenosis, overriding aorta

A child undergoes heart surgery to repair the defects associated with tetralogy of Fallot. What behavior is essential for the nurse to prevent post-op.

Straining at stool

An infant with a congetial heart defect is being given gavage feedings. The parents ask the nurse why this is necessary. How should the nurse respond?

The energy that would have been expended on sucking is conserved.

A nurse is reviewing the laboratory report of a child with tetralogy of fallot that indicates an elevated RBC count. What does the nurse identify as the cause of polycythemia?

Tissue Oxygen needs