NCLEX Child Health- Cardio
The home health nurse is visiting the home of a preschooler who is prescribed bedrest and extremely limited activity and has a diagnosis of scarlet fever. The nurse observes the child and determines that the child is coping with the illness and bedrest if which observation is noted?
The child is drawing pictures
The nurse provides discharge instructions to the mother of a child who was hospitalized for heart surgery. Which instruction should the nurse provide to the mother?
The health care provider is to be notified if the child develops a fever of more than 100.5
The nurse provides discharge instructions to the mother of a child who was hospitalized for heart surgery. Which instruction should the nurse provide to the mother?
To notify the HCP if the child develops a fever
The nurse is caring for a child with a diagnosis of atrioventricular canal defect. The nurse plans care knowing that which is a characteristic of this disorder?
It allows oxygenated and unoxygenated blood to mix
A 5-year-old child is admitted to the hospital for heart surgery to repair the tetralogy of Fallot. The nurse reviews the child's record and notes that the child has clubbed fingers. This finding is indicative of which condition?
Tissue hypoxia
The nurse is doing discharge teaching with a client who has sickle cell disease. The nurse instructs the client to avoid which factor that could precipitate a sickle cell crisis?
Infection
The nurse is providing discharge instructions to the parents of a child who has had heart surgery. What should the nurse tell the parents?
To call the health care provider if the child has difficulty breathing
The nurse is reviewing a plan of care prepared by a nursing student for an infant being admitted to the hospital with a diagnosis of heart failure (HF). Which intervention should the nurse recognize as needing revision?
Wake the infant for feedings to ensure adequate nutrition
A child with rheumatic fever is admitted to the hospital. The nurse reviews the child's record and expects to note which clinical manifestations documented in the record? Select all that apply.
1. Cardiac murmur 2. Cardiac enlargement 3. Small nontender lumps on bony prominences 4. Purposeless jerky movements of the extremities and face
The nurse is caring for a child with a patent ductus arteriosus (PDA). The nurse reviews the health care record and plans care, knowing that which findings are characteristic of this type of disorder? Select all that apply.
1. Pulmonary blood flow is increased 2. Oxygenated and unoxygenated blood mix 3. Blood is shunted to the right side of the heart
A child is admitted to the hospital with a suspected diagnosis of bacterial endocarditis. The child has been experiencing fever, malaise, anorexia, and a headache, and diagnostic studies are performed on the child. Which studies will primarily confirm the diagnosis?
A blood culture
A child is admitted to the hospital with a suspected diagnosis of bacterial endocarditis. Which diagnostic study should the nurse plan for to confirm this diagnosis?
A sedimentation rate
The nurse prepares to administer digoxin (Lanoxin) to a newborn with a diagnosis of heart failure. The nurse notes that the apical rate is 140 beats per minute. Which nursing action is appropriate?
Administer the digoxin because the apical rate is within normal limits
A 5-year-old child has been transferred to the pediatric unit after a cardiac catheterization. Which intervention has the highest priority in the care of this child immediately following the procedure?
Assess for any bleeding on the dressing
The nurse is caring for a child diagnosed with patent ductus arteriosus, and the parents of the child ask the nurse about the management of this disorder. What is the appropriate nursing response?
Closure may occur spontaneously
A child is hospitalized for diagnostic studies, and a diagnosis of atrial septal defect is confirmed. The nurse plans care knowing that what is a characteristic of this type of defect?
It is a left to right heart shunt
A child is admitted to the pediatric unit with a diagnosis of coarctation of the aorta (COA). The health care provider prescribes that the child's blood pressure be taken every 4 hours in the legs and the arms. What should the nurse expect the blood pressure child's legs be in comparison to the child's arms?
Decreased in the legs and increased in the arms
A school-age child has a history of upper respiratory infection (URI) accompanied by a sore throat, and the health care provider suspects rheumatic fever. The nurse checks for which if the modified Jones criteria are being used to diagnose rheumatic fever?
Evidence of streptococcal infection and the presence of either two major manifestations or one major and two minor manifestations of rheumatic fever.
A child is admitted to the hospital with a diagnosis of acute rheumatic fever. The nurse analyzes the laboratory results and determines that which finding would confirm the likelihood of acute rheumatic fever?
Increased antibody level
The nurse is caring for a child with a diagnosis of Kawasaki disease, and the mother of the child asks the nurse about the disorder. Which description of this disorder should the nurse base the response to the mother on?
It is also called mucocutaneous lymph node syndrome and is a febrile generalized vasculitis of unknown etiology.
The nurse is caring for a child with a ventricular septal defect, and the parents ask the nurse about the treatment for this disorder. On what should the nurse base the response?
Some defects may close spontaneously
The nurse is told that a child has been diagnosed with a patent ductus arteriosus. The nurse plans care, knowing that what is a characteristic of this disorder?
It involves an artery that connects the aorta and the pulmonary artery during fetal life
The nurse is caring for a child with a patent ductus arteriosus. The nurse reviews the child's assessment data, knowing that which is characteristic of this disorder?
It involves an artery that connects the aorta and the pulmonary artery during fetal life.
The nurse is assigned to care for a child with a diagnosis of atrial septal defect. The nurse plans care knowing that which description is characteristic of this type of defect?
It is an opening between the two atria and allows oxygenated and unoxygenated blood to mix
The registered nurse (RN) is observing a new nurse care for a child with a diagnosis of heart failure (CHF). Which action by the new nurse should indicate the RN that the new nurse needs further teaching about care for this child?
Keeps the head of the bed flat
The nurse has provided discharge instructions to the parent of a child who has undergone heart surgery. Which statement by the parent would indicate the need for further instruction?
My child can return to school for full days 2 weeks after discharge.
The nurse is caring for a hospitalized child with a diagnosis of rheumatic fever. The nurse notes that the health care provider has documented the presence of erythema marginatum. Based on this documentation, which signs and symptoms should the nurse expect to note in the child?
Red skin lesions that start as flat or slightly raised macules over the trunk
The nurse is caring for a hospitalized child with a diagnosis of rheumatic fever who has developed carditis. The mother asks the nurse to explain the meaning of carditis. On which description of this complication of rheumatic fever should the nurse base her response?
Inflammation of all parts of the heart, primarily the mitral valve.
The registered nurse is discussing care of an infant with a patent ductus arteriosus (PDA) with a nursing student. The registered nurse determines that the nursing student needs further teaching regarding a PDA if the student states that which circulatory change is a characteristic of this disorder?
Blood is shunted to the left side of the heart
A child is admitted to the hospital with a diagnosis of rheumatic fever. The nurse reviews the blood laboratory findings, knowing that which finding will confirm the likelihood of this disorder?
Increased antitreptolysin-O (ASO titer)
The nurse is caring for a hospitalized child with a documented diagnosis of rheumatic fever and carditis. The nurse plans care, knowing that which description is appropriate for carditis?
Inflammation of all parts of the heart, primarily the mitral valve
