Conc II Exam 4 Peds Questions Pt 12

A beneficial effect of administering digoxin (Lanoxin) is that it: A. Decreases edema. B. Decreases cardiac output. C. Increases heart size. D. Increases venous pressure.

a

Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse's reply should be based on which statement a. Child needs opportunities to play with peers. b. Child needs to understand that peers' activities are too strenuous. c. Parents can meet all of the child's needs. d. Constant parental supervision is needed to avoid overexertion.

a

The nurse is assessing a child post-cardiac catheterization. Which complication might the nurse anticipate? A. Cardiac arrhythmia B. Hypostatic pneumonia C. Congestive heart failure D. Rapidly increasing blood pressure

a

The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands? A. Organize nursing activities to allow for uninterrupted sleep. B. Allow the infant to sleep through feedings during the night. C. Wait for the infant to cry to show definite signs of hunger. D. Discourage parents from rocking the infant

a

What is the nurse's first action when planning to teach the parents of an infant with a congenital heart defect (CHD)? A. Assess the parents' anxiety level and readiness to learn. B. Gather literature for the parents. C. Secure a quiet place for teaching. D. Discuss the plan with the nursing team.

a

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure? A. Weigh the infant every day on the same scale at the same time. B. Notify the physician when weight gain exceeds more than 20 g/day. C. Put the infant in a car seat to minimize movement. D. Administer digoxin (Lanoxin) as ordered by the physician.

a

A nurse is teaching nursing students the physiology of congenital heart defects. Which defect results in decreased pulmonary blood flow? A. Atrial septal defect B. Tetralogy of Fallot C. Ventricular septal defect D. Patent ductus arteriosus

b

An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered the child has a cardiac abnormality. The initial treatment of secondary hypertension initially involves: A. Weight control and diet. B. Treating the underlying disease. C. Administration of digoxin. D. Administration of â-adrenergic receptor blockers.

b

As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in: A. chlorides. B. potassium. C. sodium. D. vitamins.

b

The nurse is preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching? A. "I should avoid tub baths but may shower." B. "I have to stay on strict bed rest for 3 days." C. "I should remove the pressure dressing the day after the procedure." D. "I may attend school but should avoid exercise for several days."

b

What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating, and is not feeding well? A. Recheck the infant's blood pressure. B. Alert the physician. C. Withhold oral feeding. D. Increase the oxygen rate.

b

Which clinical changes occur as a result of septic shock? A. Hypothermia B. Increased cardiac output C. Vasoconstriction D. Angioneurotic edema

b

An infant with an unrepaired tetralogy of Fallot defect is becoming extremely cyanotic during a routine blood draw. Which interventions should the nurse implement? Place in order fromthe highest-priority intervention to the lowest-priority intervention. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d) a. Administer 100% oxygen by blow-by. b. Place the infant in knee-chest position. c. Remain calm. d. Give morphine subcutaneously or by an existing intravenous line.

b a d c

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.) a. Warm flushed extremities b. Sweating (inappropriate) c. Weight loss d. Fatigue e. Decreased urinary output

b d e

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. While an airway is being established, what medication should the nurse prepare for immediate administration? A. Diphenhydramine (Benadryl) B. Dopamine C. Epinephrine D. Calcium chloride

c

A clinical manifestation of systemic venous congestion that can occur with congestive heart failure is a. Tachypnea b. Tachycardia c. Peripheral edema d. Pale, cool extremities

c

A nurse is teaching an adolescent about primary hypertension. The nurse knows that which of the following is correct? a. Primary hypertension should be treated with diuretics as soon as it is detected. b. Congenital heart defects are the most common cause of primary hypertension. c. Primary hypertension may be treated with weight reduction. d. Primary hypertension is not affected by exercise.

c

A preschool child is scheduled for an echocardiogram. Parents ask the nurse whether they can hold the child during the procedure. The nurse should answer with which response? A. "You will be able to hold your child during the procedure." B. "Your child can be active during the procedure, but can't sit in your lap." C. "Your child must lie quietly; sometimes a mild sedative is administered before the procedure." D. "The procedure is invasive so your child will be restrained during the echocardiogram."

c

An important nursing consideration when chest tubes will be removed from a child is to: A. Explain that it is not painful. B. Explain that only a Band-Aid will be needed. C. Administer analgesics before the procedure. D. Expect bright red drainage for several hours after removal

c

Which action by the school nurse is important in the prevention of rheumatic fever? A. Encourage routine cholesterol screenings. B. Conduct routine blood pressure screenings. C. Refer children with sore throats for throat cultures. D. Recommend salicylates instead of acetaminophen for minor discomforts.

c

Nursing interventions for the child after a cardiac catheterization include which of the following (Select all that apply)? A. Allow ambulation as tolerated. B. Monitor vital signs every 2 hours. C. Assess the affected extremity for temperature and color. D. Check pulses above the catheterization site for equality and symmetry. E. Remove pressure dressing after 4 hours. F. Maintain a patent peripheral intravenous catheter until discharge

c f

José is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be: A. Directed at his parents because he is too young to understand. B. Detailed in regard to the actual procedures so he will know what to expect. C. Done several days before the procedure so that he will be prepared. D. Adapted to his level of development so that he can understand.

d

The parents of a young child with congestive heart failure tell the nurse that they are "nervous" about giving digoxin. The nurse's response should be based on knowing that: a. It is a safe, frequently used drug. b. It is difficult to either overmedicate or undermedicate with digoxin. c. Parents lack the expertise necessary to administer digoxin. d. Parents must learn specific, important guidelines for administration of digoxin.

d

What type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy? A. Neurogenic shock B. Cardiogenic shock C. Hypovolemic shock D. Anaphylactic shock

d

When discussing hyperlipidemia with a group of adolescents, the nurse should explain that high levels of what substance are thought to protect against cardiovascular disease? a. Cholesterol b. Triglycerides c. Low density lipoproteins (LDLs) d. High-density lipoproteins (HDLs).

d

Which postoperative intervention should be questioned for a child after a cardiac catheterization? A.Continue intravenous (IV) fluids until the infant is tolerating oral fluids. B. Check the dressing for bleeding. C. Assess peripheral circulation on the affected extremity. D. Keep the affected leg flexed and elevated.

d