ATI Peds Cardio

ASO titer for child with suspected rheumatic fever

"This test will confirm if your child had a recent streptococcal infection" a blood test that measures anti-streptolysin O antibodies in the blood

A nurse is admitting a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions? 1. "Has your son had a sore throat recently?" 2. "Was your son born with this cardiac defect?" 3. "Has your child had any injuries recently?" 4. "Have you given your child aspirin in the past 2 weeks?"

1. "Has your son had a sore throat recently?" Rheumatic fever typically develops 2-6 wks after an untreated or ineffectively treated strep infection Although rheumatic fever is not a CHD, it can progress to rheumatic heart disease, which involves cardiac valve damage Although nurses should screen child for injuries, it is not an essential question for this child at this time. Aspirin is associated with Reye syndrome

A nurse is caring for an 8-yr-old child who has rheumatic fever. Which of the following assessments is the nurse's priority immediately after admission? 1. Auscultating the rate and characteristics of the child's heart sounds 2. Using a pain-rating tool to determine the severity of the joint pain 3. Identifying the degree of parental anxiety related to diagnosis 4. Assessing the client's erythematous rash

1. Auscultating the rate and characteristics of the child's heart sounds Tachycardia and cardiac murmur indicate cardiac involvement, which can result in serious, life-threatening, and life-long complications

A nurse is caring for a client who just had a cardiac catheterization. Which of the following nursing interventions should the nurse include in the client's plan of care? (Select all that apply.) 1. Check peripheral pulses in the affected extremity. 2. Place the client in high Fowler's position. 3. Measure the client's vital signs every 4 hr. 4. Keep the client's hip and leg extended. 5. Have the client remain in bed up to 6 hr

1. Check peripheral pulses in the affected extremity. 4. Keep the client's hip and leg extended. 5. Have the client remain in bed up to 6 hr Pt should remain flat or with HOB < 30 for 2-6 hrs post procedure Measure vitals frequently, w/ each check of the affected extremity

A nurse is teaching a parent of an infant who has HF about meeting the infant's nutritional needs. Which of the following statements indicates understanding of teaching? 1. "I will feed my baby on a schedule every 4 hrs" 2. "I will add Polycose to each of my baby's bottles" 3. "I will allow my baby to take as much time as needed to finish bottle" 4. "I will limit my babies crying to 15 mins prior to each feeding:

2. "I will add Polycose to each of my baby's bottles" Feed infant w/ HF every 3 hrs

A nurse is preparing to measure an infant's VSs. The nurse should use which site to assess a HR? 1. Carotid artery 2. Apex of the heart 3. Brachial artery 4. Radial artery

2. Apex of the heart

A nurse is caring for a client who has heart failure and is receiving iv furosemide. The nurse should monitor the client for which of the following electrolyte imbalances? 1. Hypernatremia 2. Hyperuricemia 3. Hypercalcemia 4. Hyperchloremia

2. Hyperuricemia

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus (PDA). Which of the following findings should the nurse expect? 1. Cyanosis w/ crying 2. Systolic murmur 2. Weak pulses 4. Chronic hypoxemia

2. Systolic murmur PDA = failure of the artery connecting the aorta & pulmonary artery to close after birth, causing left-to-right shunt. Bounding pulses, wide pulse pressure

A nurse is obtaining vital signs from 2-month-old infant. The infants heart rate is 190/min and his temperature is 40 C. The father asks the nurse why the babies heart is beating so fast. Which response by the nurse is appropriate? A. "This is within expected range for your baby." B. "The fever is causing an increase in your baby's heart rate." C. "As your baby begins to fall asleep, his heart rate will decrease." D. "Your baby's heart is beating fast in an attempt to cool down his body."

B. "The fever is causing an increase in your baby's heart rate."

Digoxin toxicity

Blurred and yellow vision Weight loss, diarrhea, bradycardia, dysrhythmias, N/V, anorexia, dizziness, confusion, weakness

Cardiac cath

Bruising and a small hematoma at the incision site are expected Dressing should be left in place for at least 1 day Parent should offer acetaminophen or ibuprofen not aspirin Avoid tub baths for at least 3 days

Digoxin antidote

Fab antibody fragments (aka digoxin immune Fab)

Coarctation of the aorta

Increased BP in the arms w/ decreased BP in legs

Withhold digoxin if pulse is less than ______ /min?

Infant: 90 Child: 70 Adult: 60

CHDs associated w/ increased pulmonary blood flow

VSD ASD PDA