cardiac EAQs

2, 3

a 6-month-old infant has a congenital right-to-left shunt defect of the heart. which clinical finding would the nurse expect during physical exam and review of the child's lab reports? select all that apply 1) orthopnea 2) tissue hypoxia 3) increased hematocrit 4) freq resp infections 5) bounding pulses in upper extremities

c

a child has congenital cardiac malformation that causes right-to-left shunting of blood thru the heart. which clinical finding would the nurse expect? a) proteinuria b) peripheral edema c) increased hematocrit d) absence of pedal pulses

1, 5

a child is prescribed IVIG for kawasaki disease. before admin of IVIG, which actions would the nurse take? select all that apply 1) start an IV line 2) obtain a cardiac monitor 3) ensure NPO 4) check for allergies to antibiotics 5) obtain consent for BP admin

d

a child underwent a cardiac cath 2 hrs before the change in shift. which statement given in report would the incoming nurse question? a) VS every 30 mins b) voided 100 mL since admission c) pressure dressing over entry site d) bed rest w/ bathroom privileges

a

cardiac cath in a child w/ ventricular septal defect serves which purpose? a) identifies the specific location of the defect b) confirms the presence of a pansystolic murmur c) reveals the degree of cardiomegaly that is present d) establishes the presence of ventricular hypertrophy

a

in which position would the nurse place an infant w/ tetralogy of fallot who begins to cry and exhibits worsening cyanosis and dyspnea? a) knee-chest b) orthopneic c) lateral recumbent d) semi-fowler

d

the weight of a 3-month-old infant w/ tetralogy of fallot has declined from the 25th percentile to the 5th. which mechanism would the nurse suspect is the reason for this inadequate weight gain? a) cyanosis resulting in cerebral changes b) decreased arterial oxygen level resulting in polycythemia c) pulmonary HTN resulting in current resp infections d) inadequate oxygen perfusion leading to activity intolerance, resulting in diminished energy to nurse

b

when the nurse is administering IV K+ to a client w/ hypokalemia, which finding is most important to communicate to the HCP? a) U waves on cardiac monitor b) QRS duration of 0.28 secs c) decreased bowel sounds d) weakened grip strength

d

which assessment finding would the nurse expect to find in a full-term infant w/ a cardiac anomaly? a) projectile vomiting b) irregular resp rhythm c) hyperreflexia of the extremities d) unequal peripheral BPs

c

which clinical finding indicates that a client taking digoxin may have developed digoxin toxicity? a) constipation b) decreased urination c) cardiac dysrhythmias d) metallic taste in the mouth

d

which description would the nurse provide the parents of an infant who are asking about what a patent ductus arteriosus is? a) the diameter of the aorta is enlarged b) the wall btwn the right and left ventricles is open c) it is a narrowing of the entrance to the pulmonary artery d) it is a connection btwn the pulmonary artery and the aorta

b

which education would the nurse teach the parents of an infant w/ a cardiac defect about an early sign of HF? a) slowed respiration b) increased HR c) distended neck veins d) increased urine output

c

which finding would the preoperative nurse expect when assessing a child before repair of a ventricular septal defect? a) severe cyanosis b) high hemoglobin and hematocrit levels c) bilateral lung sounds w/ rales and rhonchi d) high BP in the arms and low BP in the legs

a

which intervention would the nurse implement for a 4-month-old infant w/ tetralogy of fallot and HF a) providing small, freq feedings b) positioning the child flat on the back c) encouraging freq nutritional fluids d) measuring the head circumference daily

d

which physical exam finding would the nurse expect when assessing an infant w/ a ventricular septal defect? a) bradycardia at rest b) activity-related cyanosis c) bounding peripheral pulses d) murmur at the left sternal border

d

which structural defects are associated w/ tetralogy of fallot? a) tricuspid atresia, ventricular septal defect, atrioventricular canal, and coarctation of the aorta b) overriding of the aorta, aortic stenosis, patent ductus arteriosus, and mitral valve insufficiency c) atrial septal defect, right ventricular hypertrophy, patent ductus, and mitral valve insufficiency d) right ventricular hypertrophy, ventricular septal defect, pulmonic stenosis, and overriding of the aorta

b

which would the nurse avoid in an infant w/ a congenital heart defect after cardiac cath? a) offering fluids as tolerated b) performing ROM exercises c) monitoring the apical pulse for rate and rhythm d) assessing the pulses distal to the cath site

b

which would the nurse expect to see when reviewing the results of a complete blood count for an infant w/ tetralogy of fallot? a) anemia b) polycythemia c) agranulocytosis d) thrombocytopenia