Cardiology Assignment Peds
The nurse is caring for a child with Kawasaki disease. A student nurse who is on the unit asked if there are medications to treat this disease. The nurse's response to the student nurse is.
Immunoglobulin G and aspirin.
A nurse is assessing a school-aged child in the advanced stages of congestive heart failure. She is prepared to identify which of the following findings? Select all that apply .
Hepatomegaly. Nasal flaring and grunting. Tachypnea.
The most common congenital heart defect is.
Ventricular septal defect.
The parents of a 3-month-old ask why their baby will not have an operation to correct a ventricular septal defect (VSD). The nurse's best response is.
Your baby's defect is small and will likely close on its own by one year of age.
A child has been diagnosed with valvular disease following rheumatic fever. During patient teaching, the nurse discusses the child's long-term prophylactic therapy with anitbiotics for dental procedures, surgery, and childbirth. The parents indicate they understand when they say:
She will need to take antibiotics for the rest of her life.
Potential benefits of using digoxin in the pediatric patient with congestive heart failure include: Select all that apply .
Slows the heart rate. Inhibits the sympathetic nervous system. Assists in controlling irregular heartbeats.
What should the nurse assess prior to administering digoxin? Select all that apply.
Apical pulse rate.
The nurse is caring for a 9-month-old who was born with a congenital heart defect. Assessment reveals a HR of 160, capillary refill of 4 seconds, bilateral crackles, and sweat on the scalp. These are signs of.
CHF
The mother of a child with a heart defect is questioning the nurse about the child's medication. When discussing the diuretic the child is on, the nurse should place an emphasis on teaching about
Close monitoring of output.
A nursing action that promotes ideal nutrition in an infant with congestive heart failure is.
Feeding formula that is supplemented with additional calories.
A child born with Down syndrome should be evaluated for which associated cardiac manifestation?
Congenital heart defect.
Which are the most serious complications for a child with Kawasaki disease?Select all that apply.
Coronary thrombosis. Coronary stenosis. Coronary artery aneurysm.
The following are examples of acquired heart disease. Select all that apply .
Infective endocarditis. Rheumatic fever. Cardiomyopathy. Kawasaki disease.
Which physiological changes occur as a result of hypoxemia in congestive heart failure?
Polycythemia and clubbing
A 10-year-old child is recovering from a severe sore throat. The parent states that the child complains of chest pain. The nurse observes that the child has swollen joints, nodules on the fingers, and a rash on the chest. The likely cause of
Rheumatic fever.
A child is admitted with infective endocarditis. The nurse is prepared to
Start an I.V. line
The nurse is caring for an 8-year-old-girl whose parents indicate she has developed spastic movements of her extremities and trunk, facial grimace, and speech disturbances. They state it seems worse when she is anxious and does not occur while sleeping. The nurse questions the parents about which recent illness?
Strep throat
A child has been admitted to the hospital unit in congestive heart failure (CHF). Symptoms related to this admission diagnosis would include.
Tachycardia.
A 6-month-old who has episodes of cyanosis after crying could have the congenital heart defect of decreased pulmonary blood flow called
Tetralogy of Fallot.
On examination, a nurse hears a murmur at the left sternal border in a child with diarrhea and fever. The parent asks why the pediatrician never said anything about the murmur. The nurse explains:
The fever increased the intensity of the murmur.
