NURSING4260 Quiz 5: Cardiology

23.4375 mL/hr

A 2-year-old child is being placed on IV fluids while NPO before a surgery. The order is for 1/2 maintenance fluid, so as to avoid fluid overload. The child weighs 12.5kg. What is the hourly fluid rate that is appropriate for this child? Round to the hundredths place. ______ ml/hr

Vagal maneuver, such as ice to the face

An infant is experiencing supraventricular tachycardia (SVT). The infant doesn't appear to be in distress, and vitals are close to baseline. Which intervention should be attempted first?

Place the infant in knee-chest position

A 3-month-old infant with tetralogy of Fallot is admitted for a diagnostic workup in preparation for corrective surgery. The morning after cardiac catheterization the infant suddenly becomes cyanotic and begins breathing rapidly. Which is the nursing action of highest priority?

Checking the pulse in the extremity(?)

A cardiac catheterization is performed on an infant. After the procedure, the leg used for the catheter insertion site becomes mottled, or discolored. What is the first action the nurse should take?

6 mg

A child who weighs 20 kg is being immunosupressed by doses of tacrolimus to prevent heart transplant rejection given twice a day. The dose per day is 0.6mg/kg each day. How many milligrams should the nurse plan to administer per each dose? Record your answer in a whole number. _______mg

Atrioventricular septal defect (AVSD)

A client with Down syndrome (Trisomy 21) comes to the pediatric clinic for a well visit. Which cardiac anomaly would this child be at highest risk for considering his health history?

(N) Pulmonary veins (N) Pulmonary arteries (Y) Foramen ovale (Y) Ductus arteriosus (N) Mitral valve

A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures are expected to undergo change after birth? Select all that apply.

Positive antistreptolysin titer

A nurse is reviewing the laboratory values of a school-aged child with rheumatic heart disease. Which finding does the nurse conclude is related to this condition?

It's an acute systemic vasculitis of unknown cause

The nurse is teaching the parents of a child with Kawasaki disease. Which statement should the nurse include in her teaching about this disorder?

To determine if child is obtaining enough nutrients to support increased energy demands of the heart.

What is the most important rationale for monitoring nutritional intake in a child with heart failure (HF)?

Arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses.

Which following data, documented by the nurse, is consistent with Coarctation of the Aorta?

Tetralogy of Fallot

Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?