CH 41 TB

auscultation of a child's heart reveals a loud murmur with a precordial thrill. the nurse documents this as which grade

grade IV

the nurse is caring for an infant with suspected patent ductus arteriosus. which assessment finding would the nurse identify as helping to confirm this suspicion

harsh, continuous, machine like murmur under the left clavicle

a 9 year old child has undergone a cardiac catheterization and is being prepared for discharge. the nurse is instructing the parents and child about post procedure care. which statement by the parents indicates the teaching was successful

he should avoid taking a bath for about 3 days, but he can shower

the nurse is conducting a physical examination of a child with ventricular septal defect. which finding would the nurse expect to assess

holosystolic harsh murmur along the left sternal border

a newborn is diagnosed with patent ductus arteriosus. the nurse anticipates that the heal care provider will most likely order which medication

indomethacin

during a follow up visit, the parents of a 5 month old infant diagnosed with congenital heart disease tell the nurse, " we are just so tired and emotionally spent. all these testes and examinations are overwhelming. we just want to have a normal life. were so focused on the baby that it seems like out 3 year old is lost in the shuffle." which nursing diagnosis would the nurse identify as most appropriate.

interrupted family processes related to demands of caring for the ill child

after teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which assessment finding

jerky movements of the face and upper extremities

a nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. after auscultating the child's hart sounds, how would the nurse document this murmur

loud without a thrill

the nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. what would the nurse be least likely to include

maintenance of strict bed rest

a child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. what would the nurse expect the healthcare provider to prescribe SATA

-intravenous immunoglobulin -ibuprofen -acetaminophen -aspirin -alprostadil

the nurse is caring for a child that just returned from a coronary arteriogram in which the catheter was placed through the left femoral artery. which nursing actions demonstrate knowledge of the procedure SATA

-the nurse allows the client up to the bathroom only -the nurse assesses the dorsalis pedis pulse in the left foot -the nurse assesses the puncture site frequently -the nurse tells the parents that the healthcare provider will discuss the results of the procedure with them -then nurse assesses the client's vital signs every 8 hours

a child with suspected dyslipidemia undergoes laboratory testing. the nurse is reviewing the results. which finding would the nurse interpret as supporting the diagnosis. SATA

-total cholesterol level of 150 mg/dL -total cholesterol level of 189 mg/dL -total cholesterol level of 330 mg/dL -LDL level of 90 mg /dL -LDL level of 120 mg /dL -LDL level of 140 mg/dL

the nurse is reviewing the medical record of a child with ineffective endocarditis. what would the nurse expect to find SATA

-white blood cell count revealing leukopenia -microscopic hematuria with urinalysis -electrocardiogram with prolonged PR interval -lungs clean on auscultation -petechiae on palpebral conjunctiva

a 7 year old child with a family history of cardiovascular disease is being screened for hyperlipidemia. when reviewing the child's laboratory test results, which total cholesterol level would be of significant concern

210 mg/dL (5.44mmol/L)

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 healthcar provider if the infants apical pulse rate was

80 beats per minute

the nurse is caring for a 2 month old infant who has been diagnosed with acute heart failure. the nurse is providing teaching about nutrition. which statement by the mother indicates a need for further teaching

I need to feed him every hour to make sure he eats enough

a nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. they are discussing nutritional management. which statement by the adolescent demonstrates understanding of the information

I should eat plenty of fresh fruits and vegetables

the nurse is assessing a child with suspected ineffective endocarditis. which assessment finding would the nurse interpret as a sign of extracardiac emboli

Roth spots

a child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. when explaining this test to the child, what would the nurse most likely include

a special want that picks up sound is used to check your heart

the nurse is administering digoxin as ordered and the child vomits the dose. what should the nurse do next

administer the next dose in 12 hours

after assessing a child's blood pressure, the nurse determines the pulse pressure and finds that is is narrowed. what would the nurse identify as associated with this finding

aortic stenosis

after teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow

atrial septal defect

an infant with congenital heart disease is to undergo surgery to correct the defect. the mother states "I guess I'm going to have to stop breastfeeding her. " which response by the nurse is most appropriate

breast milk may help to boost her immune system, so you can continue to use it

a child with heart failure is receiving supplemental oxygen . the nurse understands that in addition to improving oxygen saturation, this intervention also has what effect

cause vasodilation

the mother of a 4 week old infant is tearful. she reports the healthcare provider has told her that her son has a small atrial septal defect. she reports she is worried and asks the nurse more about the condition. which statement by the parents best indicates an understanding of the nurse's teaching

most of the time this condition spontaneously resolves

the nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. which finding would the nurse most likely expect to assess if the child has transposition of the great vessels

significant cyanosis without presence of a murmur

when conducting a physical examination of a child with suspected Kawasaki disease, which finding would the nurse expect to assess

strawberry tongue

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

the baby seems more comfortable over my shoulder

the nurse is caring for a newborn diagnosed with an atrial septal defect (ASD). the parents voice concern and state, "I can't believe this is happening. will our child be okay?" what is the nurse's best response

while each case is different, the majority of these defects correct on their own. Let's see what the tests show, and then speak with the healthcare provider