Cardiac Disorders

The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was:

80 beats per minute.

A child is diagnosed with rheumatic fever. For which medication will the nurse educate the caregivers?

Aspirin

What information would be included in the care plan of an infant in heart failure?

Begin formulas with increased calories

When assessing a infant born at 32 weeks' gestation, which finding would lead the nurse to suspect to suspect that the newborn has a patent ductus arteriosus (PDA)?

Continuous murmur on auscultation

The nurse is caring for an infant suspected of having tricuspid atresia. What essential assessment(s) will the nurse complete for this infant? Select all that apply

Determine ability to suck. Measure respiratory rate. Auscultate heart rate. Auscultate lung fields for crackles

The parents of a child with heart failure ask the nurse, "How will the digoxin he is getting help?" Which response by the nurse would be most appropriate?

Digoxin helps to improve the heart's ability to contract

The nurse is taking a health history of a toddler with a suspected congenital heart defect. Which response by the mother could indicate that the child is experiencing hypercyanotic spells?

He likes to stop and squat wherever he walks

The nurse in a pediatric cardiovascular clinic is talking with the father of a 5-year-old child who underwent cardiac surgery for a heart defect at the age of 3. The father reports that the child has been having increased shortness of breath, tires easily after playing, and has been gaining weight. The nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder?

Heart failure

The nurse is planning care for an 8-month-old infant with a ventricular septal defect. Which nursing diagnosis should the nurse use to help guide the care for this patient?

Ineffective tissue perfusion related to inefficiency of the heart as a pump

A 6-year-old girl is diagnosed with pulmonary stenosis. The mother asks the nurse what the likely treatment for this condition will involve. What should the nurse tell the mother?

Insertion of a catheter with an uninflated balloon tip into the affected valve, followed by inflation of the balloon to break up adhesions

The parents of a 5-year-old child with a cardiovascular disorder tell the nurse they don't understand why their child isn't gaining weight, "We make sure our child has 3 very nutritious meals every day." How should the nurse respond?

It's great you are providing nutritious meals, but small, frequent meals will tire your child less and promote weight gain

A nurse is taking the history of a 4-year-old child who will undergo a cardiac catheterization. Which statement by the parent may necessitate rescheduling of the procedure?

My child seems listless and slightly warm

A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to see?

Peeling hands and feet; fever

When reviewing the record of a child with tetralogy of Fallot, what would the nurse expect to discover?

Polycythemia

Which health teaching concept should the nurse emphasize when instructing the parents of a child with polycythemia caused by a congenital heart disorder?

Prevent dehydration

A nurse is providing discharge teaching to the family of a child who has undergone a cardiac catheterization. Which instruction is most important for the nurse to stress during the teaching session?

Promote adequate hydration

A nurse is providing care to a toddler after surgery for a partial atrioventricular (AV) canal defect. The nurse has set a client care goal of maintaining adequate respiratory function. Which nursing intervention is mostapplicable to this goal?

Provide activities such as blowing bubbles

A parent brings an infant in for poor feeding and listlessness. Which assessment data would most likely indicate a coarctation of the aorta?

Pulses weaker in lower extremities compared to upper extremities

A nurse is caring for a child who is experiencing heart failure. Which assessment data was most likely seen when initially examined?

Tachycardia

When caring for a child with a congenital heart defect, which assessment finding may be a sign the child is experiencing heart failure?

Tachycardia

A newborn has been diagnosed with a congenital heart disease. Which of the following congenital heart diseases is associated with cyanosis?

Tetralogy of Fallot

The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which statement by the mother would warrant further investigation?

The baby seems more comfortable over my shoulder

A school nurse finds a 10-year-old's blood pressure is over the 95th percentile. The nurse advises the parent to seek medical attention for the child. What outcome would the nurse expect?

The child will need the blood pressure checked two more times

An infant has been diagnosed with a small ventricular septal defect following detection of a murmur during a routine assessment. What anticipatory guidance should the nurse provide the infant's family?

The infant's growth and development are unlikely to be affected.

A nurse is obtaining the history from a woman who is in labor. Which of the following if reported by the mother would alert the nurse to the possibility that the newborn has an increased risk for a congenital heart defect?

The mother states she has lupus

A shunt is being placed on a child with pulmonary atresia. What is the best explanation of this procedure to the parents?

The surgery will increase the blood flow to the lungs

A parent asks about the risk of a congenital heart defect being passed on to another child since they already have one child that has it, but no one else in the family has one. What is the best response by the nurse?

There is a less than 7% chance a sibling would inherit a heart defect

A mother is asking for more information about her infant's patent ductus arteriosus (PDA). What would be included in the education?

This is caused by an opening that usually closes by 1 week of age

A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy. Which statement would indicate to the nurse that additional teaching is needed?

We can stop the penicillin when her symptoms disappear

The nurse has administered oral penicillin as ordered for prophylaxis of endocarditis. The nurse instructs the parents to immediately report which reaction?

Wheezing

The nurse is caring for an infant with Down syndrome who has been diagnosed with atrioventricular canal defect. The parents asks the nurse, "Why do you not put oxygen on our baby more often when his lips and fingernails are blue?" What is the best response by the nurse?

While it seems that oxygen would help, it actually worsens this condition. Treating the cause of the disease will help

The nurse is caring for a school-aged child who has been diagnosed with congestive heart failure. The child has been prescribed digoxin. Prior to administering a scheduled dose of the medication, the nurse should:

assess the child's apical heart rate for 1 minute

The nurse is planning care for an infant with a nursing diagnosis of decreased cardiac output related to a cardiac defect. What is the most appropriate outcome for this nursing diagnosis? The child will:

demonstrate stable vital signs, capillary refill less than 3 seconds, and a urine output of 1-2 mL/kg/hr

After assessing a child, the nurse suspects coarctation of the aorta based on a finding of:

femoral pulse weaker than brachial pulse