PrepU CH 41: Nursing Care Of The Child With An Alteration In Perfusion/Cardiovascular Disorder (Perfusion- Developmental)

A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would indicate to the nurse that additional teaching is needed? a. "We can stop the penicillin when her symptoms disappear." b. "If she needs dental surgery, we might need additional medication." c. "To prevent another episode, she'll need preventive antibiotic therapy for at least 5 years." d. "She needs to take the drug for the full 14 days."

a. "We can stop the penicillin when her symptoms disappear."

The nurse is administering medications to the child with congestive heart failure (CHF). Large doses of what medication are used initially in the treatment of CHF to attain a therapeutic level? a. Digoxin b. Albuterol sulfate c. Ferrous sulfate d. Spironolactone

a. Digoxin

The nurse is caring for a 14-year-old girl with atrial fibrillation. Which medication would the nurse expect to be prescribed? a. Digoxin b. Indomethacin c. Furosemide d. Alprostadil

a. Digoxin

When educating the family of an ill infant with an atrioventricular canal defect/septal defect, what information would be included in the education if the doctor is planning on performing palliative care until the infant is healthier? a. Palliative pulmonary artery banding should help the infant grow. b. VSD patching surgery should be performed immediately. c. The medication indomethacin is used to try to close the hole. d. Most infants do not need surgical repair for this if palliative procedures are performed.

a. Palliative pulmonary artery banding should help the infant grow.

A parent brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarctation of the aorta? a. Pulses weaker in lower extremities compared to upper extremities b. Cyanosis with crying c. Cyanosis with feeding d. Pulses weaker in upper extremities compared to lower extremities

a. Pulses weaker in lower extremities compared to upper extremities

At 3 years of age, a child has a cardiac catheterization. After the procedure, which interventions would be most important? a. Taking pedal pulses for the first 4 hours b. Allowing the child to talk about the procedure c. Assuring the child that the procedure is now over d. Allowing the child to adapt to the light in the room gradually

a. Taking pedal pulses for the first 4 hours

A newborn has been diagnosed with a congenital heart disease. Which congenital heart disease is associated with cyanosis? a. Tetralogy of Fallot b. Aortic stenosis c. Coarctation of aorta d. Pulmonary stenosis

a. Tetralogy of Fallot

A school nurse finds a 10-year-old's blood pressure is over the 95th percentile. The nurse advises the parent to seek medical attention for the child. What outcome would the nurse expect? a. The child will need the blood pressure checked two more times. b. Advise the child go to the emergency room. c. The child will probably need surgery. d. This is a normal result for a child this age.

a. The child will need the blood pressure checked two more times.

The nurse is teaching an in-service program to a group of nurses on the topic of children diagnosed with rheumatic fever. The nurses in the group make the following statements. Which statement is most accurate regarding the diagnosis of rheumatic fever? a. "Being up-to-date on immunizations is the best way to prevent this disorder." b. "Children who have this diagnosis may have had strep throat." c. "The onset and progression of this disorder is rapid." d. "This disorder is caused by genetic factors."

b. "Children who have this diagnosis may have had strep throat."

The nurse is providing child and family education prior to discharge following a cardiac catheterization. The nurse is teaching about signs and symptoms of complications. Which statement by the mother indicates a need for further teaching? a. "We need to watch for changes in skin color or difficulty breathing." b. "The feeling of the heart skipping a beat is common." c. "Strenuous activity should be limited for the next 3 days." d. "We need to avoid a tub bath for the next 3 days."

b. "The feeling of the heart skipping a beat is common."

A nurse is reviewing blood work for a child with a cyanotic heart defect. What result would most likely be seen in a client experiencing polycythemia? a. Decreased WBC b. Increased RBC c. Decreased RBC d. Increased WBC

b. Increased RBC

A mother is asking for more information about her infant's patent ductus arteriosus (PDA). What would be included in the education? a. Your child may need multiple surgeries to correct this defect. b. This is caused by an opening that usually closes by 1 week of age. c. An IV for fluids will be started immediately. d. This type of defect is caused by having a genetic predisposition for it.

b. This is caused by an opening that usually closes by 1 week of age.

The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately report which reaction? a. Nausea with diarrhea b. Wheezing c. Stomach upset d. Abdominal distress

b. Wheezing

A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see? a. Low blood pressure and decreased heart rate b. Irritability and dry mucous membranes c. Peeling hands and feet; fever d. Decreased heart rate and impalpable pulse

c. Peeling hands and feet; fever

An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be the first priority? a. Prepare the infant for surgery. b. Raise the head of the bed. c. Place the infant in the knee-chest position. d. Start an IV for fluids.

c. Place the infant in the knee-chest position.

The nurse is caring for an 8-month-old infant with a suspected congenital heart defect. The nurse examines the child and documents which expected finding? a. Appropriate mastery of developmental milestones b. Intact rooting reflex c. Softening of the nail beds d. Steady weight gain since birth

c. Softening of the nail beds

The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond? a. "Are you sure you are making nutrient-dense foods?" b. "Maybe your child doesn't really like the foods your making. This could lead to not gaining sufficient weight." c. "It's hard to get your child to eat enough at this age to maintain their weight since they are expending so much energy with the heart condition." d. "It's great you are providing nutritious meals, but small, frequent meals will tire your child less and promote weight gain."

d. "It's great you are providing nutritious meals, but small, frequent meals will tire your child less and promote weight gain."

A nurse is palpating the pulse of a child with suspected aortic regurgitation. Which assessment finding should the nurse expect to note? a. Preference to resting on the right side b. Appropriate mastery of developmental milestones c. Pitting periorbital edema d. Bounding pulse

d. Bounding pulse

A nurse admits an infant with a possible diagnosis of congestive heart failure. Which signs or symptoms would the infant most likely be exhibiting? a. Bradycardia b. Bradypnea c. Yellowish color d. Feeding problems

d. Feeding problems

A 6-year-old girl is diagnosed with pulmonary stenosis. The mother asks the nurse what the likely treatment for this condition will involve. What should the nurse tell the mother? a. Insertion of Dacron-coated stainless-steel coils by interventional cardiac catheterization b. No treatment is necessary, as the defect will resolve spontaneously c. Surgical closure by ductal ligation d. Insertion of a catheter with an uninflated balloon tip into the affected valve, followed by inflation of the balloon to break up adhesions

d. Insertion of a catheter with an uninflated balloon tip into the affected valve, followed by inflation of the balloon to break up adhesions