Pedi Ch 26 Qs

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What are the priority nursing actions when administering Diuril (chlorothiazide) to a child diagnosed with congestive heart failure (CHF)?

Monitor serum electrolytes and daily weight.

Which condition can be identified by the barium swallow test?

Indentation of the esophagus by the aorta.

While collecting data on a 5-year-old child, the nurse suspects that the child has a risk of developing hypertension. What statement by the parents enabled the nurse to come to this conclusion?

"I am giving a high fat diet to my child."

While collecting the data on a patient, the nurse anticipates that the patient may have atrial septal defect. Which test should the nurse expect to be performed in the patient?

Angiocardiography.

Which congenital heart disorder is associated with the flow of oxygenated blood from the left atrium to the right atrium?

Atrial septal defect.

The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin toxicity?

Extreme bradycardia.

While caring for a patient with rheumatic fever, the nurse finds that the patient is unable to button a shirt. The nurse also finds that the patient is clumsy and spills things. Which medication would be helpful in alleviating these symptoms?

Phenobarbital (Luminal)

The nurse is caring for a child with a respiratory disorder. The nurse finds that the child stops and takes a squatting position during a group activity. Which intervention does the nurse expect to be beneficial for the child?

Placing the child in the knee-chest position.

Which observation indicates that an infant with congestive heart failure (CHF) is carefully following the prescribed medical regimen?

The child exhibits normal weight for age.

The nurse monitors the vital signs of an infant who is on digoxin (Lanoxin) therapy and reports them to the registered nurse. The registered nurse withholds the medication and notifies the primary health care provider. What could be the reason for this nursing intervention?

The infant's pulse rate is 80 beats/min.


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