Cardiac Care for Children: Q and A's

A nurse is obtaining a health history from a child who has suspected acute rheumatic fever. Which of the following questions should the nurse ask? A.) "Has your son had a sore throat recently?" B.) "Was your son born with a cardiac defect?" C.) "Has your son had an injury recently?" D.) "Have you given your child aspirin in the past 2 weeks?"

"Has your son had a sore throat recently?" Rheumatic fever typically develops in 2-6 weeks after an untreated streptococcal infection of the respiratory tract

A nurse is reviewing data for 4 children. Which of the following children should the nurse assess first? A.) A 10-year-old with sickle cell anemia who reports severe chest pain B.) A 7-year-old who has diabetes insipidus and a specific urine gravity of 1.016 C.) A 1-year-old toddler who has roseola and a temperature of 102.2F D.) A 4-year-old child who has asthma and a PCO2 37 mmHg

A 10-year-old with sickle cell anemia who reports severe chest pain Medical emergency bc its a manifestation of acute chest syndrome.

The nurse recieves a call from a parent of a child who has von Willebrand disease and is having a nosebleed. Which of the following instructions should the nurse give to the parent? A.) "Place your child in a sitting position with their head tilt back" B.) "Apply ice at the base of the nose for 5 min and then check for bleeding" C.) "Place your child in a supine position with a pillow under her back" D.) "Have your child sit with her head tilted forward and hold pressure on her nose for 10 min"

"Have your child sit with her head tilted forward and hold pressure on her nose for 10 min" This position reduces the risk for aspiration

A nurse is providing teaching to parents of a child with iron deficiency anemia and is taking iron supplements. Which of the following statements by the parents indicates an understanding of the teaching? A.) "The medication should be administered in one large dose every day" B.) "Restricting fiber from our child's diet will help with the absorption of iron" C.) "The medication will be more effective if administered with meals" D.) "Our child's blood count will need to be monitored routinely for several weeks"

"Our child's blood count will need to be monitored routinely for several weeks"

A nurse is preparing to administer digoxin to a 6 month old infant. Prior to administering the dose, the nurse listens to the apical heart rate. The nurse should withold the dose if the infant's apical heart rate is less than what rate?

90/min

A nurse is providing teaching about iron deficiency anemia to parents of a toddler. Which of the following should the nurse recommend as a method of preventing iron-deficiency anemia? A.) Avoid a diet that primarily consists of milk B.) Administer fat-soluble vitamins daily C.) Include fluroidated water in toddler's diet D.) Limit intake of high protein foods

Avoid a diet that primarily consists of milk Milk is a poor source of iron

A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority? A.) Blood pressure 92/50 mmHg B.) Heart rate 72/min C.) Abdominal pain rated 4 on a scale of 0 - 10 D.) Respiratory rate of 20/min

Blood pressure 92/50 mmHg The expected reference range in adolescents is 110/65 to 120/80 mmHg. A BP of 92/50 mmHg indicates adolescent is hypotensive and unstable. Blunt trauma can cause internal hemorrhage that leads to hypotension.

A nurse is caring for a child who has Kawasaki disease. Which of the following systems should the nurse monitor in response to the diagnosis? A.) Cardiovascular B.) Gastrointestinal C.) Integumentary D.) Respiratory

Cardiovascular

A nurse is providing discharge instructions to the parent of a 10-year-old child following cardiac catheterization. Which of the following instructions should the nurse include? A.) Keep the child home for 1 week B.) Give the child acetaminophen for discomfort C.) Offer the child clear liquids for the first 24 hours D.) Assist the child to take a tub bath for the first 3 days

Give the child acetaminophen for discomfort Child might have minor discomfort at puncture site; the parent should offer acetaminophen or ibuprofen d/t risk of Reye syndrome associated with taking aspirin (Early symptoms include diarrhea, rapid breathing, vomiting, and severe fatigue. Symptoms such as confusion, seizures, and loss of consciousness need emergency treatment.)

The nurse is caring for a toddler whose parents states while bathing she noticed a mass in his abdominal area and that his urine is a pink color. Which of the following actions is the nurse's priority? A.) Schedule the child for an abdominal ultrasound B.) Instruct the parent to avoid pressing on the abdominal area C.) Determine if the child is having pain D.) Obtain a urine specimen for urinalysis

Instruct the parent to avoid pressing on the abdominal area The symptoms are associated with Wilms' tumor, and trauma to the mass should be avoided to prevent movement of the cancer cells into other sites

A nurse is reviewing the lab results of four children. Which of the following results should the nurse report to the provider? A.) WBC 10,000 cells/mm3 B.) Lead 2 mcg/dL C.) RBC 4.9 million/mm3 D.) Iron 38 mcg/dL

Iron 38 mcg/dL

A nurse is creating a care plan of care for a child who has sickle cell anemia. Which of following interventions should the nurse include in the plan of care? A.) Discourage a high level of fluid intake B.) Apply a cold press to painful, swollen joints C.) Observe for indications of hypokalemia D.) Administer meperidine every 4 hr for pain

Observe for indications of hypokalemia Diueresis can lead to electrolyte imbalance, leading to hyokalemia

The nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect? A.) Skips and hops on one foot B.) Has a vocabulary of 1,500 words C.) Walks backward heel to toe D.) Stands on one foot for a few seconds

Stands on one foot for a few seconds

A nurse is preparing to measure an infant's vital signs. The nurse should use which of the following sites to assess heart rate? A.) Carotid artery B.) The apex of the heart C.) Brachial artery D.) Femoral artery

The apex of the heart