Pediatric practice questions exam 2

the nurse is assessing a child one hour after a cardiac catheterization. for which finding would the nurse IMMEDIATELY alert the provider? a. weak, thready, unequal dorsalis pedis pulses b. oral temp of 100 F (37.7C) c. urine output of 2ml/kg d. slightly bloody drainage around the catheterization site dressing

a. weak, thready, unequal dorsalis pedis pulses

the nurse is caring for a newborn who has been diagnosed with a ventricular septal defect. the newborn is not exhibiting any signs of heart failure. the parents ask the nurse why the health care provider does not want to perform surgery immediately on the newborn. what is the nurse's MOST appropriate response? a. your baby is just to little to have surgery right now b. waiting will allow you time to bond with your new baby c. the health care provider wants to wait and see if the hole in your baby's heart will close on its own d. your baby is not sick enough to require surgery at this point in time

c. the health care provider wants to wait and see if the hole in your baby's heart will close on its own

when caring for a child diagnosed with a ventricular septal defect (VSD), which description would the nurse include while teaching the parents about this condition? a. it is a narrowing of the aortic arch b. it is a failure of a septum to develop completely between the atria c. it is a narrowing of the valves at the entrance of the pulmonary artery d. it is a failure of a septum to develop completely between the ventricles

d. it is a failure of a septum to develop completely between the ventricles.

which change would the nurse anticipate after administering oxygen to a cyanotic infant with uncorrected tetralogy Fallot? a. disappearance of the murmur b. no evidence of cyanosis c. improvement of finger clubbing d. less agitation

d. less agitation

which position might a child with tetralogy of Fallot find MOST comfortable following exercise? a. prone b. semi-fowler's c. side-lying d. squatting

d. squatting

a nurse is teaching parents about tricuspid atresia. which statement indicated that the parents understand this disorder? a. there's a narrowing at the aortic outflow tract b. the pulmonary veins don't return to the left atrium c. there's a narrowing at the entrance of the pulmonary artery d. there's no communication between the right atrium and right ventricle

d. there's no communication between the right atrium and right ventricle

the nurse is preparing to administer digoxin to an infant. what is the MOST important intervention by the nurse? a. mix the digoxin with the infant's food b. double the subsequent dose if a dose is missed c. give the digoxin with antacids when possible d. withhold the dose if the apical pulse rate is less than 90/bpm

d. withhold the dose if the apical pule rate is less than 90/bpm

The nurse is providing discharge instructions for the parents of an infant who has recently undergone cardiac surgery. The nurse determines that teaching was effective when the parents make which statements? Select all that apply. A. "I should keep giving my baby all prescribed medicines until the health care provider tells me to stop" B. "I need to find low-sodium formula to feed to my baby" C. "I am going to take my baby to church on Sunday so that everyone can see her" D. "I should wait about six weeks to schedule an appointment for my baby to get her immunizations" E. "I should place the infant on her stomach when i put her to bed"

A. "I should keep giving my baby all prescribed medicines until the health care provider tells me to stop" D. "I should wait about six weeks to schedule an appointment for my baby to get her immunizations"

a nurse is caring for a child with Kawasaki disease. which symptom would be the MOST concerning to the nurse? a. mild diarrhea b. pain in the joints c. abdominal pain with vomiting d. increased erythrocyte sedimentation rate (ESR)

c. abdominal pain with vomiting

what findings should the nurse anticipate while assessing a child with tetralogy of Fallot a. machine-like murmur b. eisenmenger's syndrome c. cyanosis that increases with crying or activity d. higher pressure in the upper extremities than in the lower extremities

c. cyanosis that increases with crying or activity

a client with trisomy 21 comes to the pediatric clinic for a wellness visit. for which cardiac anomaly would this child be MOST at risk? a. atrial septal defect b. pulmonic stenosis c. coarctation of the aorta d. atrioventricular canal defect

d. atrioventricular canal defect

the nurse is preparing to assess a child with a possible cardiac anomaly. what is the PRIORITY assessment for this nurse? a. skin turgor b. temperature c. pupil size and reaction to light d. blood pressure in all four extremities

d. blood pressure in all four extremities

a child diagnosed with tetralogy of Fallot had been ordered to undergo testing. which test would BEST indicate the direction and amount of shunting in this child? a. chest radiography b. echocardiography c. electrocardiography (ECG) d. cardiac catheterization

d. cardiac catheterization

the nurse determines that a child with Kawasaki disease has entered the subacute phase when the assessment includes: a. polymorphous rash b. normal blood values c. cervical lymphadenopathy d. desquamation of the hands and feet

d. desquamation of the hands and feet

which statement by the nurse BEST describes a characteristic of valvular pulmonic stenosis? a. one of the valve cusps is normal; the other two are not b. the pulmonary artery becomes stenotic c. left ventricular hypertrophy develops d. divisions between the cusps are fused resulting in stiffness

d. divisions between the cusps are fused resulting in stiffness

a nurse is preparing a family for discharge of a client with Kawasaki disease. what is the MOST appropriate information for the nurse to include? a. stop the aspirin when returning home b. immunizations can be given in two weeks c. the child may return to school in one week d. frequent echocardiography will be needed

d. frequent echocardiography will be needed

which findings would the nurse commonly assess in a child with truncus arteriosus? a. weak, thready pulses b. narrowed pulse pressure c. pink and moist mucous membranes d. harsh, systolic regurgitant murmur

d. harsh, systolic regurgitant murmur

Which findings would the nurse commonly assess in a child with truncus arteriosus? A. Weak, threads pulse B. Narrowed pulse pressure C. Pink and moist mucous membranes D. Harsh, systolic regurgitant murmur

D. Harsh, systolic regurgitant murmur

A teenage client with heart failure is prescribed carvedilol. She asks the nurse "what is this drug supposed to do?" Which responses by the nurse are correct? Select all that apply. A. "Improve the way your heart works" B. "Keep you from getting an infection in your heart C."increase the amount of blood pumped by your heart" D. "Lower your blood pressure" E. "Slow your heart rate

A. "Improve the way your heart works" D. "Lower you blood pressure" E. "Slow your heart rate"

Which cardiac anomaly produces a left-to-right shunt? A. Arterial septal defect B. Pulmonic stenosis C. Tetralogy of Fallot D. Total anomalous pulmonary venous return

A. Arterial septal defect

A nurse is caring for a 16-year-old client with aortic stenosis. Which symptoms would this teen experience during physical activity? Select all that apply. A. Chest pain B. Dizziness C. Lack of endurance D. Dusky lips and fingernail beds E. Wheezing

A. Chest pain B. Dizziness C. Lack of endurance

A graduate nurse has started working in a pediatric intensive car unit and is measuring the clients cardiac output. What factors determine cardiac output? Select all that apply. A. Contractility B. Preload C. After load D. Urine output E. Heart rate

A. Contractility B. Preload C. Afterload E. Heart rate

Which characteristics would the nurse anticipate in a child diagnosed with tricuspid atresia? Select all that apply. A. Cyanosis B. Machine-like murmur C. Decreased respiratory rate D. Capillary refill more than two seconds E. Clubbed fingers

A. Cyanosis D. Capillary refill more than two seconds E. Clubbed fingers

A child is diagnosed with cardiogenic shock. What manifestations would the nurse expect to find in this child? Select all that apply. A. Decreased urine output B. Bradycardia C. Tachypnea D. Bounding peripheral pulses E. Capillary refill of less than two seconds

A. Decreased urine output C. Tachypnea

The nurse is conduction staff in-service training on von Willebrand's disease. Which should the nurse include as characteristics of von Willebrand's disease? SELECT ALL THAT APPLY. A. Easy bruising occurs B. Gum bleeding occurs C. It is hereditary bleeding disorder D. Treatment and care are similar to that for hemophilia E. It is characterized by extremely high creative levels F. The disorder causes platelets to adhere to damaged endothelium

A. Easy bruising occurs B. Gum bleeding occurs C. It is a hereditary bleeding disorder D. Treatment and care are similar to that for hemophilia F. The disorder causes platelets to adhere to damaged endothelium

A two-year-old child is being monitored after cardiac surgery. Which assessment findings would represent a decrease in cardiac output? Select all that apply. A. Hypotension B. Decreased urine output C. Weak peripheral pulses D. Capillary refill less than two seconds E. Warm fingers and toes

A. Hypotension B. Decreased urine output C. Weak peripheral pulses

Which intervention is recommended initially, for preterm neonates, to close a patent ductus arteriosus? A. Indomethacin B. Prostaglandin E1 C. Surgical ligation D. Cardiac catheterization

A. Indomethacin

The nurse notes documentation that a child is exhibiting an inability to flex the leg when the thigh is flexed anteriorly at the hip. Which condition foes the nurse suspect? A. Meningitis B. Spinal cord injury C. Intracranial bleeding D. Decreased cerebral blood flow

A. Meningitis

The parents of an infant recently diagnosed with tricuspid atresia have been told that their child will need a series of surgeries, in three stages, during the first few years of life. Which statements indicate that the parents have an understanding of the procedures? Select all that apply. A.my child will have this dusky color for the rest of his life B. These procedures will make my child have a normal heart C. Once fixed my baby will not have to take any more medicine D. My baby will be just like all the other children once the surgeries are all done E. My child will have to be closely monitored for signs of stroke

A. My child will have this dusky color for the rest of his life E. My child will have to be closely monitored for sings of stroke

The nurse is preparing for the admission of an infant with a diagnosis of bronchiolitis caused by respiratory syncytial virus (RSV). Which interventions should the nurse include in the plan of care? SELECT ALL THAT APPLY. A. Place the infant in a private room B. Ensure that the infant's head is in a flexed position C. Wear a mask, gown, and gloves when in contact with the infant D. Place the infant in a tent that delivers warm humidified air E. Position infant on the side, with the head lower than the chest F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children

A. Place the infant in a private room C. Wear a mask, gown, and gloves when in contact with the infant F. Ensure that nurses caring for the infant with RSV do not care for other high-risk children

The nurse is reviewing a health care provider's prescription for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso-occlusive crisis. Which prescriptions documented in the child's record should the nurse question? SELECT ALL THAT APPLY. A. Restrict fluid intake B. Position for comfort C. Avoid strain on painful joints D. Apply the oxygen at 2L/min E. Provide a high-caloric, high protein diet F. Give meperidine, 25mg intravenously, every 4 hours for pain

A. Restrict fluid intake F. Give meperidine, 25mg intravenously, every 4 hours for pain

The nurse is preparing discharge a 12-year-old child after a cardiac catheterization. What is the MOST important information for the nurse to provide? A. The child should drink fluids and eat a regular diet B. The child may participate in sports once home C. The child can routinely bathe after returning home D. The child may return to school the next day

A. The child should drink fluids and eat a regular diet

The nurse is caring for a four-year-old client with a chest tube that has been placed on water seal. The nurse assesses the chest tube and determines that it is functioning correctly when: A. The water level rises with inhalation B. Bubbling is seen in the suction chamber C. Bubbling is seen in the water seal chamber D. Water seal is obtained by clamping the tube

A. The water level rises with inhalation

The nurse is creating a plan of care for a child who is at risk fro seizures. Which interventions apply if the child has a seizure? SELECT ALL THAT APPLY. A. Time the seizure B. Restrain the child C. Stay with the child D. Place the child in a prone position E. Move furniture away from the child F. Insert a padded tongue blade in the child's mouth

A. Time the seizure C. Stay with the child E. Move furniture away from the child

Which noninvasive method should the nurse use to evaluate the cardiac status of a child? A. Transthoracic echocardiogram B. Cardiac enzyme levels C. Cardiac catheterization D. Transesophageal pacing

A. Transthoracic echocardiogram

What should the nurse assess in a child who has undergone surgical repair of a coarctation of the aorta? Select all apply. A. Urine output B. Neuromuscular function of lower extremities C. Neuromuscular function of the upper extremities D. Heart sounds E. Lung sounds F. Bowel sounds

A. Urine output B. Neuromuscular function of lower extremities D. Heart sounds E. Lung sounds F. Bowel sounds

The nurse is assessing a child one hour after a cardiac catheterization. For which finding would the nurse IMMEDIATELY Albert the provider? A. Weak, threads, unequal dorsalis pedis pulses B. Oral temperature of 100 F (37.7 C) C. Urine output of 2.l/kg D. Slightly bloody drainage around the catheterization site dressing

A. Weak, threads, unequal dorsalis pedis pulses

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which MOST APPROPRIATE method to assess the urine output? A. Weighing the diapers B. Inserting a urinary catheter C. Comparing intake with output D. Measuring the amount of water added to formula

A. Weighing the diapers

A 10-year-old child with asthma is treated for acute exacerbation in the emergency department. The nurse caring for the child should monitor for which sign, knowing that it indicates a worsening of the condition? A. Warm, dry skin B. Decreased wheezing C. Pulse rate of 90 beats per minute D. Respirations of 18 breaths per minute

B. Decreased wheezing

The nurse has provided home care instructions to the parents of a child who is being discharged after cardiac surgery. Which statement made by the parents indicates a NEED FOR FURTHER INSTRUCTION? A. "A balance of rest and activity is important" B. "I can apply lotion or powder to the incision if it is itchy" C. "Activities in which my child could fall need to be avoided for 2 to 4 weeks" D. "Large crowds of people need to be avoided for at least 2 weeks after surgery"

B. "I can apply lotion or powder to the incision if it is itchy"

The nursing student is presenting a clinical conference and discusses the cause of B-thalassemia. The nursing student informs the group that a child at greatest risk of developing the disorder in which of these? A. A child of Mexican descent B. A child of Mediterranean descent C. A child whose intake of iron is extremely poor D. A breast fed child of a mother with chronic anemia

B. A child of Mediterranean descent

A nurse is describing tetralogy of fallot to a child's parents. Which statement by the parents demonstrates that the teaching has been effective? A. The condition is commonly referred as a "blue tets" B. A child with this condition experiences hypercyanotic or "tet" spells C. A Chile with this condition experiences frequent respiratory infections D. A child with this condition experiences decreased or absent pulses in the lower extremities

B. A child with this condition experiences hypercyanotic or "tet" spells

Which nursing intervention would be MOST appropriate for a nurse to implement when caring for a two-year-old child immediately after cardiac catheterization? A. Allow the child to sit on the parent's lap B. Allow the parent to lie in bed with the child to keep him flat C. Assess vital signs every 2 to 4 hours D. Replace a blood-stained groin dressage with a new dressing

B. Allow the parent to lie in bed with the child to keep him flat

Which assessment would the nurse consider as a late sing of shock in a six-month-old infant? A. Heart rate of 172 bpm B. Blood pressure of 64/36 mmHg in right arm C. Capillary refill of four seconds D. Pale, cool, mottled skin

B. Blood pressure of 64/36 mmHg in right arm

A child with tetralogy of Fallot has clubbing of the fingers and toes. The nurse is aware that the clubbing is MOST likely to be caused by: A. Polycythemia B. Chronic hypoxia C. Pansystolic murmur D. Abnormal growth and development

B. Chronic hypoxia

A child with heart failure is taking captopril. What are the desired effects of this medication? Select all that apply? A. Increased blood pressure B. Decreased blood pressure C. Increased preload D. Decreased preload E. Increased urine output F. Decreased urine output

B. Decreased blood pressure D. Decreased preload E. Increased urine output

The nurse is assessing a child with a total anomalous pulmonary venous return defect. which finding would the nurse anticipate on assessment? A. Hypertension B. Frequent respiratory infections C. Normal growth and development D. High activity level

B. Frequent respiratory infections

A mother brings her 2-week-old infant to a clinic for a phenylketonuria rescreening blood test. The test indicates a serum phenylalanine level of 1 mg/dL (60.5 McCollum/L). The nurse reviews this result and makes which interpretation? A. It is positive B. It is negative C. It is inconclusive D. It requires rescreening at age 6 weeks

B. It is negative

An echocardiogram has been ordered for an eight-year-old child. What is the MOST accurate information for the nurse to tells the parents? A. The child must be sedated in order to get an accurate result B. It uses sound waves to measure and evaluate cardiac structures and function C. The Transthoracic method of echocardiogram is an invasive procedure D. It is the most definitive method of evaluating cardiac function

B. It uses sound waves to measure and evaluate cardiac structures and function

A nurse is caring for a client with patent ductus arteriosus. What assessment findings would the nurse anticipate with this condition? Select all that apply. A. Weak peripheral pulses B. Machine-like murmur C. Widened pulse pressure D. Tachypnea E. Cyanosis

B. Machine-like murmur C. Widened pulse pressure D. Tachypnea

The nurse is caring for an infant with bronchiolitis and diagnostic tests have confirmed respiratory syncytial virus (RSV). On the basis of this finding which is the MOST APPROPRIATE nursing action? A. Initiates strict enteric precautions B. Move the infant to a private room C. Leave the infant in the present room, because RSV is not contagious D. Inform the staff that using standard precautions is all that is necessary when caring for the child.

B. Move the infant to a private room

The nurse is monitoring a three-year-old child who is experiencing distress after having cardiac surgery. Which sign would indicate cardiac tamponade? Select all that apply. A. Hypertension B. Muffled heart sounds C. Widened pulse pressure D. Decreased chest tube drainage E. Dyspnea

B. Muffled heart sounds D. Decreased chest tube drainage E. Dyspnea

The nurse creates a plan of care for a child at risk for tonic-clonic seizures. In the plan of care, the nurse identifies seizure precautions and documents that which item(s) need to be placed at the child's bedside? A. Emergency cart B. Tracheotomy set C. Padded tongue blade D. Suctioning equipment and oxygen

D. Suctioning equipment and oxygen

The nurse is aware that a client who has a repair of total anomalous pulmonary venous return is at risk for: A. Systemic hypotension B. Pulmonary hypertension C. Ventricular arrhythmias D. Pulmonary vein dilatation

B. Pu;moray hypertension

An infant with a diagnosis of hydrocephalus is scheduled for surgery. Which is the PRIORITY nursing intervention in the preoperative period? A. Test the urine for protein B. Reposition the infant frequently C. Provide a stimulating environment D. Assess blood pressure every 15 minutes

B. Reposition the infant frequently Rationale: Hydrocephalus occurs as a result of an imbalance of cerebrospinal fluid absorption or production that is caused by malformations, tumors, hemorrhage, infections, or trauma. It results in head enlargement and increased intracranial pressure. In infants with hydrocephalus, the head grows at an abnormal rate, and if the infant is not repositioned frequently, pressure ulcers can occur on the back and side of the head. An egg crate mattress under the head is also a nursing intervention that can help prevent skin breakdown. Proteinuria is not specific to hydrocephalus. Stimulus should be kept at a minimum because of the increase in intracranial pressure. It is not necessary to check the blood pressure every 15 minutes.

What are the expected assessment findings of an infant with heart failure? Select all that apply. A. Heart rate of 100/bpm B. Respiratory rate of 72 breathes/min C. Gallop murmur D. +3 pulses in all extremities E. Lover palpated at level of umbilicus

B. Respiratory rate of 72 breathes/min C. Gallop murmur E. Liver palpated at level of umbilicus

The nurse is performing a cardiac assessment on a child and auscultates a grade 1 heart murmur. What are the characteristics of this heart murmur? A. Equal to the heart sounds B. Softer than the heart sounds C. Can be heard with the naked ear D. Associated with a precordial thrill

B. Softer than the heart sounds

Which symptoms would the nurse anticipate in a child with Kawasaki disease? Select all that apply. A. Low-grade fever B. Strawberry tongue C. Desquamation of hands and feet D. Bilateral conjunctival infection with yellow exudates E. Irritability

B. Strawberry tongue C. Desquamation of hands and feet E. irritability

The parents of a newborn child have just been told that he has a heart condition known as patent ductus arteriosus. What statement made by the parents indicates an understanding of this condition? A. Heart failure is uncommon in this kind of heart condition B. The health care provider said if it doesn't close in the next 4 to 6 weeks our baby might need surgery. C. This kind of opening in the heart can cause a decreased heart and respiratory rate D. This opening can cause out baby to look blue because of decreased blood flow to the lungs

B. The health care provider said if it doesn't close in the next 4 to 6 weeks our baby might need surgery

An infant returns to the room after a cardiac catheterization. What PRIORITY information should the nurse teach the parents about mobility? Select all that apply. A. The infant may sit in an infant swing B. The infant may be held as long as the affected extremity is immobilized C. The infant may be maintained on bed rest with the affected extremity immobilized D. The infant may be held upright in arms in order to eat E. The infant may be healed as long as both extremities are immobilized

B. The infant may be held as long as the affected extremity is immobilized C. The infant may be maintained on bed rest with the affected extremity immobilized

The nurse is caring for a child with tricuspid atresia who developed polycythemia. Which statements MOST accurately describe this manifestation? Select all that apply. A. The red blood cell count is normal B. There is increased ability for the oxygen to carry blood C. There is an increased risk of developing a thrombus D. The viscosity of the blood is unchanged E. The condiment will cause the child to gain weight

B. There is increased ability for the oxygen to carry blood C. There is an increased risk of developing a thrombus

The nurse is instructing the parents of a a child with iron deficiency anemia regarding the administration of a liquid oral iron supplement. Which instruction should the nurse tell the parents? A. Administer iron at mealtimes B. Administer the iron through a straw C. Mix the iron with cereal to administer D. Add the iron to formula for easy administration

B. administer the iron through a straw In iron deficiency anemia, iron stores are depleted, resulting in a decreased supply of iron for the manufacture of hemoglobin in red blood cells. An oral iron supplement should be administered through a straw or medicine dropper placed at the back of the mouth because the iron stains the teeth. The parents should be instructed to brush or wipe the child's teeth or have the child brush the teeth after administration. Ion is administered between meals because absorption is decreased if there is food in the stomach. Iron requires an acid environment to facilitate its absorption in the duodenum. Iron is not added to formula or mixed with cereal or other food items.

An emergency room nurse is assessing a pediatric client in heart failure. Which symptom is consistent with a diagnosis of left-sided heart failure? A. Weight gain B. Peripheral edema C. Neck vein distention D. Tachypnea and dyspnea

D. Tachypnea and dyspnea

Which assessment data would lead the nurse to suspect a cardiac defect in a one-month-old infant? A. Weight gain B. Mottled skin C. Poor nutritional intake D. Pink mucous membranes

C. Poor nutritional intake

The mother of a hospitalized 2-year-old child with viral laryngotracheobronchitis (croup) asks the nurse why the pediatrician did not prescribe antibiotics. Which response should the nurse make? A. "The child may be allergic to antibiotics" B. "The child is too young to receive antibiotics" C. "Antibiotics are not indicated unless a bacterial infection is present" D. "The child still has the maternal antibodies from birth and does not need antibiotics"

C. "Antibiotics are not indicated unless a bacterial infection is present"

A nurse is teaching wound care to the parents of a child who has undergone cardiac surgery. Which statement, made by the nurse, is MOST appropriate? A. "It is okay to apply lotion and powders to the incision area when you go home" B. "Your child may take a tub bath tomorrow C. "Your child may report tingling, itching, or numbness at the incision site" D. "When the adhesive strips over the incision fall off, call the health care provider"

C. "Your child may report tingling, itching, or numbness at the incision site"

The parents of a child recently diagnosed with cerebral palsy ask the nurse about the limitations of the disorder. The nurse responds by explaining that the limitations occur as a result of which pathophysiological process? A. An infectious disease of the central nervous system B. An inflammation of the brain as a result of a viral illness C. A chronic disability characterized by impaired muscle movement and posture D. A congenital condition that results in moderate to severe intellectual disabilities

C. A chronic disability characterized by impaired muscle movement and posture

The clinic nurse reviews the record of a child just seen by the pediatrician and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? A. Pallor B. Hyperactivity C. Activity intolerance D. Gastrointestinal disturbances

C. Activity intolerance

A client has had a surgical repair of coarctation of the aorta. Which intervention would be included in the postoperative care? A. Administering dopamine B. Maintaining hypothermia C. Administering sodium nitroprusside D. Administering a bolus of IV fluids

C. Administering sodium nitroprusside

A lumbar puncture is a performed on a child suspected to have bacterial meningitis, and cerebrospinal fluid (CSF) is obtained for analysis. The nurse reviews the results of the CSF analysis and determines that which results would verify diagnosis? A. Clear CSF, decreased pressure, and elevated protein level B. Clear CSF, elevated protein, and decreased glucose levels C. Cloudy CSF, elevated protein, and decreased glucose levels D. Cloudy CSF, decreased protein, and decreased glucose level

C. Cloudy CSF, elevated protein, and decreased glucose levels

Which nursing intervention is MOST appropriate when caring for an infant with heart failure? A. Limit fluid intake B. Avoid using infant seats C. Cluster nursing activities D. Place the infant prone or supine

C. Cluster nursing activites

What findings should the nurse anticipate while assessing a child with tetralogy of fallot? A. Machine-like murmur B. Eisenmenger's syndrome C. Cyanosis that increases with crying or activity D. Higher pressure in the upper extremities than in the lower extremities

C. Cyanosis that increases with crying or activity

What finding would the nurse anticipate while assessing a child with tetralogy fallot? A. High birth weight B. Increased appetite C. Delayed growth D. Decreased respiratory rate

C. Delayed growth

The mother of a 6-year-old child who has type 1 diabetes mellitus calls a clinic nurse and tells the nurse that the child has been sick. The mother reports that she checked the child's urine and it was positive for ketones. The nurse should instruct the mother to take which action? A. Hold the next dose of insulin B. Come to the clinic immediately C. Encourage the child to drink liquids D. Administer an additional dose of regular insulin

C. Encourage the child to drink liquids

The nurse should implement which interventions for a child older than 2 years with type 1 diabetes mellitus who has a blood glucose level of 60 mg/dL (3.4 mmol/L)? SELECT ALL THAT APPLY. A. Administer regular insulin B. Encourage the child to ambulate C. Give the child a teaspoon of honey D. Provide electrolyte replacement therapy intravenously E. Wait 30 minutes and confirm the blood glucose reading F. Prepare to administer glucagon subcutaneously if unconsciousness occurs

C. Give the child a teaspoon of honey F. Prepare to administer glucagon subcutaneously if unconsciousness occurs

The nurse is assigned to care for an 8-year-old child with a diagnosis of a basilar skull fracture. The nurse reviews the pediatrician's prescriptions and should contact the pediatrician to question which prescription? A. Obtain daily weight B. Provide clear liquid intake C. Nasotracheal suction as needed D. Maintain a patent intravenous line

C. Nasotracheal suction as needed

Which assessment finding would lead the nurse to suspect a child has a digoxin level greater than 2 mcg/ml? A. Weight gain B. Tachycardia C. Nausea and vomiting D. Seizures

C. Nausea and vomiting

A nursing student is reviewing electrocardiography waveforms, of an infant, with the nurse. The ventricular depolarization and contraction. What would be the nurse's best response? A. P wave B. PR interval C. QRS complex D. T wave

C. QRS complex

Which findings should the nurse anticipate during the assessment of a child with pulmonic stenosis? Select all that apply. A. Hyperactivity B. Normal respiratory rate C. Systolic ejection murmur D. Capillary refill more than two seconds E. Normal pulse oximetry F. Chest pain

C. Systolic ejection murmur D. Capillary refill more than two seconds

The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse should assess the infant for which EARLY sign of HF? A. Pallor B. Cough C. Tachycardia D. Slow and shallow breathing

C. Tachycardia Rationale: Heart failure (HF) is the inability of the heart to pump a sufficient amount of blood to meet the oxygen and metabolic needs of the body. The early signs of HF include tachycardia, tachypnea, profuse scalp sweating, fatigue and irritability, sudden weight gain, and respiratory distress. A cough may occur in HF as a result of mucosal swelling and irritation, but is not an early sign. Pallor may be noted in an infant with HF, but is not an early sign.

The nurse is assessing a child who has a defect resulting in a left-to-right shunt. Which symptoms would the nurse anticipate in this child? Select all that apply A. Weight gain B. Edema in extremities C. Tachypnea D. Retractions E. Hepatomegaly F. Decreased activity tolerance

C. Tachypnea D. Retractions F. Decreased activity tolerance

Which treatment plan is recommended for an infant with heart failure? A. Restriction of fluids B. Weigh infant once a week C. Use of low-sodium formula D. Use of formula with an increased caloric content

D. Use of formula with an increased cardiac content

The nurse is caring for a newborn who has been diagnosed with a ventricular septal defect. The newborn is not exhibiting any sign of heart failure. The parents ask the nurse why the health care provider does not want to perform surgery immediately on the newborn. What is the nurses MOST appropriate response? A. Your baby is just too little to have surgery right now B. Waiting will allow you time to bond with your new baby C. The health care provider wants to wait and see if the hole in your baby's heart will close on its own D. Your baby is not sick enough to require surgery at this point

C. The health care provider wants to wait and see if the hole in your baby's heart will close on its own

A child with a ventricular septal defect repair is receiving dopamine postoperatively. The parents ask the nurse why the child is getting the medication. What is the nurses BEST response? A. To decrease heart rate B. To increase urine output C. To increase cardiac output D. To decrease cardiac Contractility

C. To increase cardiac output

The nurse auscultates the first heat sound. When does the first heart sound occur? A. Late in diastole B. Early in diastole C. With the closure of the mitral and tricuspid valves D. With the closure of the aortic and pulmonic valves

C. With the closure of the mitral and tricuspid valves

On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease? A. Cracked lips B. Normal appearance C. Conjunctival hyperemia D. Desquamation of the skin

C. conjunctival hyperemia Kawasaki disease, also known as mucocutanous lymph node syndrome, is an acute systemic inflammatory illness. In the acute stage, the child has a fever, conjunctival hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and thrombocytosis occur. In the convalescent stage, the child appears normal, but signs of inflammation may still be present.

The nurse is providing home care instructions to the parents of a 10-year-old child with hemophilia. Which sport activity should the nurse suggest for this child? A. Soccer B. Basketball C. Swimming D. Field hockey

C. swimming Children with hemophilia need to avoid contact sports and to take precautions such as wearing elbow and knee pads and helmets with other sports. The safe activity for them is swimming.

When caring for a child diagnosed with a ventricular septal defect (VSD), which description would the nurse include while teaching the parents about this condition? A. It is a narrowing of the aortic arch B. It is a failure of a septum to develop completely between the atria C. It is a narrowing of the valves at the entrance of the pulmonary artery D. It is a failure of the septum to develop completely between the ventricles

D. It is a failure of the septum to develop completely between the ventricles

The nurse is teaching the parents of a child who is scheduled for a cardiac catherization. Which statement, by the nurse, is MOST accurate regarding the procedure? A. It is an invasive procedure where the catheter is put directly into the heart muscle B. General anesthesia is required for children less than age three C. It uses high-frequency sound waves to produce an image of the heart in motion D. It provides visualization of the heart and great vessels using radiopaque dye

D. It provides visualization of the heart and great vessels using radiopaque dye

Which change would the nurse anticipate after administering oxygen to a cyanosis infant with uncorrected tetralogy of Fallot? A. Disappearance of the murmur B. No evidence of cyanosis C. Improvement of finger clubbing D. Less agitation

D. Less agitation

A child with rheumatic fever will be arriving to the nursing unit for admission. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever? A. "Has the child complained of back pain?" B. "Has the child complained of a headache?" C. "Has the child had any nausea or vomiting?" D. "Did the child have a sore throat or fever within the last 2 months?"

D. "Did the child have a sore throat or fever within the last 2 months?"

The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for administration of digoxin. Which statement made by the parent indicated the NEED FOR FURTHER INSTRUCTION? A. "I will not mix the medication with food" B. "If more than 1 dose is missed, I will call the pediatrician" C. "I will take my child's pulse before administering the medication" D. "If my child vomits after medication administration, I will repeat the dose"

D. "If my child vomits after medication administration, I will repeat the dose"

The clinic nurse is providing instructions to a parent of a child with cystic fibrosis regarding the immunization schedule for the child. Which statement should the nurse make to the parent? A. "The immunization schedule will need to be altered" B. "The child should not receive the hepatitis vaccines" C. "The child will receive all of the immunizations.except for the polio series" D. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination"

D. "The child will receive the recommended basic series of immunizations along with a yearly influenza vaccination"

The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing that which laboratory study would assist in confirming the diagnosis? A. Immunoglobulin B. Red blood cell count C. White blood cell count D. Anti-streptolysin O titer

D. Anti-streptolysin O titer

A client with trisomy 21 comes to the pediatric clinic for a well visit. For which cardiac anomaly would this child be MOST at risk? A. Arterial septal defect B. Pulmonic stenosis C. Coarctation of the aorta D. Atrioventricular canal defect

D. Atrioventricular canal defect

A new parent expresses concerns to the nurse regarding sudden infant death syndrome (SIDS). She asks the nurse how to position her new infant for sleep. In which position should the nurse tell the parent to place the infant? A. Side or prone B. Back or prone C. Stomach with the face turned D. Back rather than on the stomach

D. Back rather than on the stomach

What should the nurse assess in a child with a possible cardiac anomaly. What is the PRIORITY assessment for this nurse? A. Skin turgor B. Temperature C. Pupil size and reaction to light D. Blood pressure in all four extremities

D. Blood pressure in all four extremities

A mother arrives at the emergency department with her 5-year-old child and states that the child fell off a bunk bed. A head injury is suspected. The nurse checks the child's airway status and assess the child for early and late signs of increased intracranial pressure (ICP). Which is a LATE sign of increased ICP? A. Nausea B. Irritability C. Headache D. Bradycardia

D. Bradycardia

A child diagnosed with tetralogy of Fallot has been ordered to undergo testing. Which test would BEST indicate the direction and amount of shunting in this child? A. Chest radiography B. Echocardiography C. Electrocardiography (ECG) D. Cardiac catheterization

D. Cardiac catheterization

A pediatrician prescribes an intravenous (IV) solution of 5% dextrose and half-normal saline (0.45%) with 40 mEq of potassium chloride for a child with hypotonic dehydration. The nurse performs which priority assessment before administering this IV prescription? A. Obtains weight B. Takes the temperature C. Takes the blood pressure D. Checks the amount of urine output

D. Checks the amount of urine output

A nurse is assessing a child who has undergone complete repair of total anomalous pulmonary venous connection. The nurse should be MOST concerned when the child experiences which sign? A. Decreased work of breathing B. Decreased respiratory rate C. Decreased oxygenation saturation levels D. Increased urine output

D. Decreased oxygenation saturation levels

A child with B-thalassemia is receiving long-term blood transfusion therapy for the treatment of the disorder. Chelation therapy is prescribed as a result of too much iron from the transfusions. Which medication should the nurse anticipate being prescribed? A. Fragmin B. Meropenem C. Metoprolol D. Deferoxamine

D. Deferoxamine

Which statement by the nurses BEST describes a characteristic of valvular pulmonic stenosis? A. One of the valve cusps is normal, the other two are not. B. The pulmonary artery becomes stenotic C. Left ventricular hypertrophy develops D. Divisions between the cusps are fused resulting in stiffness

D. Divisions between the cusps are fused resulting in stiffness

A school-age child with type 1 diabetes mellitus has soccer practice and the school nurse provides instructions regarding how to prevent hypoglycemia during practice. Which should the school nurse tell the child to do? A. Eat twice the amount normally eaten at lunchtime. B. Take half the amount of prescribed insulin on practice days. C. Tale the prescribed insulin at noontime rather than in the morning D. Eat a small box of raisins or drink a cup of orange juice before soccer practice.

D. Eat a small box of raisins or drink a cup of orange juice before soccer practice

The mother of an 8-year-old child being treated for right lower lobe pneumonia at home calls the clinic nurse. The mother tells the nurse that the child complains of discomfort on the right side and that ibuprofen is not effective. Which instruction should the nurse provide to the mother? A. Increase the dose of ibuprofen B. Increase the frequency of ibuprofen C. Encourage the child to lie on the left side D. Encourage the child to lie on the right side

D. Encourage the child to lie on the right side

The clinic nurse instructs parents of a child with sickle cell anemia about the participating factors related to sickle cell crisis. Which, if identified by the parents as a precipitating factor, indicates the NEED FOR FURTHER INSTRUCTION? A. Stress B. Trauma C. Infection D. Fluid overload

D. Fluid overload

An adolescent client with type 1 diabetes mellitus us admitted to the emergency department for treatment of diabetic ketoacidosis. Which assessment findings should the nurse expect to note? A. Sweating and tremors B. Hunger and hypertension C. Cold, clammy skin and irritability D. Fruity breath odor and decreasing level of consciousness

D. Fruity breath odor and decreasing level of consciousness

A child with laryngotracheobronchitis (croup) is placed in a cool mist tent. The mother becomes concerned because the child is frightened, consistently crying, and trying to climb out of the tent. Which is the MOST APPROPRIATE nursing action? A. Tell the mother that the child must stay in the tent B. Place a toy in the tent to make the child feel more comfortable C. Call the pediatrician and obtain a prescription for a mild sedative D. Let the mother hold the child and direct the cool mist over the child's face.

D. Let the mother hold the child and direct the cool mist over the child's face.

The nurse is planning care for a child with acute bacterial meningitis. Based on the mode of transmission of this infection, which precautionary intervention should be included in the plan of care? A. Maintain enteric precautions B. Maintain neutropenic precautions C. No precautions are required as long as antibiotics have been started D. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics

D. Maintain respiratory isolation precautions for at least 24 hours after the initiation of antibiotics

A child with type 1 diabetes mellitus is brought to the emergency department by the mother, who states that the child has been complaining of abdominal pain and has been lethargic. Diabetic ketoacidosis is diagnosed. Anticipating the plan of care, the nurse prepares to administer which type of intravenous (IV) infusion? A. Potassium infusion B. NPH insulin infusion C. 5% dextrose infusion D. Normal saline infusion

D. Normal saline infusion

A child is diagnosed with Reye's syndrome. The nurse creates a nursing care plan for the child and should include which intervention in the plan? A. Assessing hearing loss B. Monitoring urine output C. Changing body position every 2 hours D. Providing a quiet atmosphere with dimmed lighting

D. Providing a quiet atmosphere with dimmed lighting

Laboratory studies are performed for a child suspected to have iron deficiency anemia. The nurse reviews the laboratory results, knowing that which result indicates this type of anemia? A. Elevated hemoglobin level B. Decreased reticulocyte count C. Elevated red blood cell count D. Red blood cells that are microcytic and hypo-chromic

D. Red blood cells that are microcytic and hypo-chromic

The nurse has just administered ibuprofen to a child with a temperature of 102 F (38.8 C). The nurse should also take which action? A. Withhold ordeal fluids for 8 hours B. Sponge the child with cold water C. Plan to administer salicylate in 4 hours D. Remove excess clothing and blankets from the child

D. Remove excess clothing and blankets from the child

Which position might a child with tetralogy of Fallot find MOST comfortable following exercise? A. Prone B. Semi-fowler's C. Side-lying D. Squatting

D. Squatting

The emergency department nurse is caring for a child diagnosed with epiglottis. In assessing the child, the nurse should monitor for which indication that the child may be experiencing airway obstruction? A. The child exhibits nasal flaring and bradycardia B. The child is leaning forward, with chin thrust out C. The child has a low-grade fever and complains of a sore throat D. The child is leaning backward, supporting herself or himself with the hands and arms

D. The child is leaning forward, with chin thrust out

A mother is holding her son, born with patent ductus arteriosus six hours ago. As the nurse enters the room to assess the neonate's vital signs, the mother states, "my doctor says that my baby has a heart murmur. Does that mean he has a bad heart?" What is the nurse's MOST appropriate response? A. a murmur is caused by an opening in the heart. He'll need more tests to determine his heart condition B. Murmurs can mean the blood circulation in the heart is not correct. He'll require oxygen therapy at home for awhile C. Murmurs in children are usually benign. He'll be fine. Don't worry about him D. The murmur is caused by the natural opening for fetal circulation, which can take a day or two to close. It's a normal part of your baby's transition.

D. The murmur is caused by the natural opening for fetal circulation, which can take a day or two to close. It's a normal part of your baby's transition.

A nurse is teaching parents about tricuspid atresia. Which statement indicates that the parents understand this disorder? A. There's a narrowing at the aortic outflow tract B. The pulmonary veins don't return to the left atrium C. There's a narrowing at the entrance of the pulmonary artery D. There's no communication between the right atrium and right ventricle

D. There's no communication between the right atrium and right ventricle

A pediatrician has prescribed oxygen as needed for an infant with heart failure. In which situation should the nurse administer the oxygen to the infant? A. During sleep B. When changing the infant's diapers C. When the mother is holding the infant D. When drawing blood for electrolyte level testing

D. When drawing blood for electrolyte level testing

The nurse in preparing to administer digoxin to an infant. What is the MOST important intervention by the nurse? A. Mix the digoxin with the infants food B. Double the subsequent dose if a dose is missed C. Give the digoxin with antacids when possible D. Withhold the dose if the apical pulse rate is less than 90/bpm

D. Withhold the dose if the apical pulse rate is less than 90/bpm

The nurse analyzes the laboratory results of a child with hemophilia. The nurse understands that which result will MOST LIKELY be abnormal in this child? A. Platelet count B. Hematocrit level C. Hemoglobin level D. Partial thromboplastin time

D. partial thromboplastin time Hemophilia refers to a group of bleeding disorders resulting from a deficiency of specific coagulation proteins. Results of tests that measure platelet function are normal; results of tests that measure clotting factor function may be abnormal. Abnormal laboratory results in hemophilia indicate a prolonged partial thromboplastin time. the platelet count, hemoglobin level and hematocrit level are normal in hemophilia.

which assessment findings would the nurse anticipate in a child diagnosed with acute rheumatic fever? select all that apply. a. aschoff bodies b. arthritis affecting one joint c. high fever for five or more days d. nonpruritic rash e. murmur f. irregular movements of the extremities

a. aschoff bodies d. nonpruritic rash e. murmur f. irregular movements of the extremities

which cardiac anomaly produces a left-to-right shunt? a. atrial septal defect b. pulmonic stenosis c. tetralogy of Fallot d. total anomalous pulmonary venous return

a. atrial septal defect

a nurse is caring for a 16 yr old client with aortic stenosis. which symptoms would this teen experience during physical activity? select all that apply. a. chest pain b. dizziness c. lack of endurance d. dusky lips and fingernail beds e. wheezing

a. chest pain b. dizziness c. lack of endurance

which characteristics would the nurse anticipate in a child diagnosed with tricuspid atresia? select all that apply. a. cyanosis b. machine-like murmur c. decreased respiratory rate d. capillary refill more than two seconds e. clubbed fingers

a. cyanosis d. capillary refill more than two seconds e. clubbed fingers

a nurse is providing family-centered care for a newborn diagnosed with hypoplastic left heart syndrome. what topic is MOST important to address with these parents? a. fears related to death b. delayed growth and development c. needs for continuous oxygen d. inability to tolerate activity

a. fears related to death

the parents of an infant recently diagnosed with tricuspid atresia have been told that their child will need a series of surgeries, in three stages, during the first few years of life. which statements indicate that the parents have an understanding of the procedures? select all that apply. a. my child will have this dusky color for the rest of his life b. these procedures will make my child have a normal heart c. once fixed, my baby will not have to take any more medicine d. my baby will be just like all of the other children once the surgeries are done e. my child will have to be closely monitored for signs of a stroke

a. my child will have this dusky color for the rest of his life e. my child will have to be closely monitored for signs of a stroke

what is the MOST important information for the nurse to give the parents of a child with aortic stenosis? a. restrict exercise b. avoid dental procedure c. avoid digoxin d. restrict fluid intake

a. restrict exercise

a nurse is teaching the parents of a child newly diagnosed with aortic stenosis. which statements should the nurse include in her teaching of this disorder? select all that apply. a. the aortic valve typically has three leaflets but will commonly have only two in aortic stenosis b. aortic stenosis can cause an increase in cardiac output c. your child needs to be encouraged to immediately report any chest pain or nausea and vomiting d. your child will have blue lips and nail beds as he gets older

a. the aortic valve typically has three leaflets but will commonly have two in aortic stenosis c. your child needs to be encouraged to immediately report any chest pain or nausea and vomiting

what should the nurse assess in a child who has undergone surgical repair of a coarctation of the aorta? select all that apply. a. urine output b. neuromuscular function of lower extremities c. neruomuscular function of the upper extremities d. heart sounds e. lung sounds f. bowel sounds

a. urine output b. neruomuscular function of the lower extremities d. heart sound e. lung sounds f. bowel sounds

a nurse is describing tetralogy of Fallot to a child's parents. which statement, by the parents, demonstrates that the teaching has been effective? a. the condition is commonly referred to as "blue tets" b. a child with this condition experiences hypercyanotic, or"tet" spells c. a child with this condition experiences frequent respiratory infections d. a child with this condition experiences decreased or absent pulses in the lower extremities

b. a child with this condition experiences hypercyanotic, or "tet" spells

a child with tetralogy of Fallot has clubbing of the fingers and toes. the nurse is aware that the clubbing is MOST likely to be cause by: a. polycythemia b. chronic hypoxia c. pansystolic murmur d. abnormal growth and development

b. chronic hypoxia

the nurse is assessing a child with a total anomalous pulmonary venous return defect. which finding would the nurse anticipate on assessment? a. hypertension b. frequent respiratory infections c. normal growth and development d. high activity level

b. frequent respiratory infections

how would the nurse MOST accurately describe infective endocarditis? a. it is most commonly seen in children with a history a rheumatic heart disease b. it is an infection of the valves and inner lining of the heart c. it is caused by a gram positive organism d. it will cause a decrease in the child's systemic oxygen saturation

b. it is an infection of the valves and inner lining of the heart

a child is undergoing testing to rule out a diagnosis of Kawasaki disease. which test results would support this diagnosis? select all that apply a. hematuria b. leukocytosis c. thrombocytopenia d. decreased erythrocyte sedimentation rate e. elevated C-reactive protein levels

b. leukpcytosis e. elevated C-reactive protein levels

a nurse is caring for a child with patent ductus arteriosus. what assessment findings would the nurse anticipate with this condition? select all that apply. a. weak peripheral pulses b. machine-like murmur c. widened pulse pressure d. tachypnea e. cyanosis

b. machine-like murmur c. widened pulse pressure d. tachypnea

the nurse is aware that a client who had a repair of total anomalous pulmonary venous return is at risk for: a. systemic hypotension b. pulmonary hypertension c. ventricular arrhythmias d. pulmonary vein dilatation

b. pulmonary hypertension

which symptoms would anticipate in a child with Kawasaki disease? select all that apply. a. low-grade fever b. strawberry tongue c. desquamation of hands and feet d. bilateral conjunctival infection with yellow exudates e. irritability

b. strawberry tongue c. desquamation of hands and feet e. irritability

the parents of a newborn child have just been told that he has a heart condition known as patent ductus arteriosus. which statement made by the parents, indicates and understanding of this condition? a. heart failure is uncommon in this kind of condition b. the health care provider said that if it doesnt close in the next 4 to 6 weeks, our baby will need surgery c. this kind of opening in the heart can cause a decreased heart and respiratory rate d. this opening can cause our baby to look blue because of a decreased blood flow to the lungs

b. the health care provider said if it doesn't close in the next 4 to 6 weeks, our baby might need surgery

an infant returns to the room after a cardiac catheterization. what PRIORITY information should the nurse teach the parents about mobility? select all that apply. a. the infant may sit in an infant swing b. the infant may be held as long as the affected extremity is immobilized c. the infant may be maintained on bed rest with the affected extremity immobilized d. the infant may be held upright in arms in order to eat e. the infant may be held as long as both extremities are immobilized

b. the infant may be held as long as the affected extremity is immobilized c. the infant may be maintained on bedrest with the affected extremity immobilized

the nurse is caring for a child with tricuspid atresia who develops polycythemia. which statements MOST accurately describe this manifestation? select all that apply. a. the red blood cell count is normal b. there is an increased ability for the oxygen to carry blood c. there is an increased risk of developing a thrombus d. the viscosity of the blood is unchanged e. the condition will cause the child to gain weight

b. there is an increased ability for the oxygen to carry blood c. there is an increased risk of developing a thrombus

A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted? A. The child has no tears B. Urine specific gravity is 1.035 C. Capillary refill is less than 2 seconds D. Urine output is less than 1 mL/kg/hr

c. Capillary refill is less than 2 seconds.

A 10-year-old child with hemophilia A has slipped on the ice and bumped his knee. The nurse should prepare to administer which prescription? A. Injection of factor X B. Intravenous infusion of iron C. Intravenous infusion of factor VIII D. Intramuscular injection of iron using the Z-track method

c. Intravenous infusion of factor VIII

a nurse is assessing a child who has undergone complete repair of total anomalous pulmonary venous connection. the nurse should be MOST concerned when the child experiences which sign? a. decreased work of breathing b. decreased respiratory rate c. decreased oxygenation saturation levels d. increased urine outpu

c. decreased oxygenation saturation levels

what finding would the nurse anticipate while assessing a child with tetralogy of Fallot? a. high birth weight b. increased appetite c. delayed growth d. decreased respiratory rate

c. delayed growth

a nurse is teaching a parent of a child with Kawasaki disease. which statement should the nurse include in her teaching? a. it mostly occurs in the summer and fall b. diagnosis can be made with laboratory testing c. it is an acute systemic vasculitis of unknown cause d. it manifests in an acute and subacute stage

c. it is an acute systemic vasculitis of unknown cause

a nurse is giving discharge instructions to the parents of a child with Kawasaki disease. which statement, by the parents, shows an understanding of the treatment plan? a. a regular diet can be resumed at home b. black, tarry stools are considered normal c. my child should use a soft-bristled toothbrush d. my child can return to playing soccer next week

c. my child should use a soft-bristled toothbrush

which assessment finding would lead the nurse to suspect a child has a digoxin level greater than 2 mcg/ml? a. weight gain b. tachycardia c. nausea and vomiting d. seizures

c. nausea and vomiting

which findings should the nurse anticipate during the assessment of a child with pulmonic stenosis? select all that apply. a. hyperactivity b. normal respiratory rate c. systolic ejection murmur d. capillary refill more than two seconds e. normal pulse oximetry f. chest pain

c. systolic ejection murmur d. capillary refill more than two seconds

the nurse is assessing a child who has a defect resulting in a left-to-right shunt. which symptoms would the nurse anticipate in this child? select all that apply. a. weight gain b. edema in extremities c. tachypnea d. retractions e.hepatomegaly f. decreased activity tolerance

c. tachypnea d. retractions f. decreased activity tolerance

a child with a ventricular septal defect repair is receiving dopamine postoperatively. the parents ask the nurse why the child is getting the medication. what is the nurse's BEST response? a. to decrease heart rate b. to increase urine output c. to increase cardiac output d. to decrease cardiac contractility

c. to increase cardiac output