PEDS QUIZ 2 CHAPTER 41

23. A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply.

A) Intravenous immunoglobulin C) Acetaminophen D) Aspirin

6. When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess?

B) Strawberry tongue

18. A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the following would the nurse most likely include?

C) "A special wand that picks up sound is used to check your heart."

24. An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate?

C) "Breast milk may help to boost her immune system, so you can continue to use it."

13. A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful?

C) "He should avoid taking a bath for about 3 days but he can shower."

11. Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?

C) Grade IV

25. During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate?

C) Interrupted family processes related to demands of caring for the ill child

10. The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation?

B) "The baby seems more comfortable over my shoulder."

16. After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

B) Atrial septal defect

17. A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern?

D) 210 mg/dL

12. After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding?

A) Aortic stenosis

20. A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also helps to do which of the following?

A) Cause vasodilation

8. A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following?

A) Loud without a thrill

4. The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels?

A) Significant cyanosis without presence of a murmur

3. The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?

B) Harsh, continuous, machine-like murmur under the left clavicle

1. The nurse is conducting a physical examination of a child with a ventricular septal defect. Which finding would the nurse expect to assess?

B) Holosystolic harsh murmur along the left sternal border

7. After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding?

B) Jerky movements of the face and upper extremities

15. The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include?

B) Maintenance of strict bed rest

19. The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply.

B) Microscopic hematuria with urinalysis C) Electrocardiogram with prolonged PR interval E) Petechiae on palpebral conjunctiva

5. The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli?

B) Roth spots

9. The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching?

C) "I need to feed him every hour to make sure he eats enough."

22. A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information?

C) "I should eat plenty of fresh fruits and vegetables."

14. A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication?

C) Indomethacin

21. The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:

D) 80 beats per minute

2. The nurse is administering digoxin as ordered and the child vomits the dose. What should the nurse do next?

D) Administer next dose as ordered in 12 hours