Peds Evolve Quizzing Cardiovascular

What signs of worsening heart failure does the nurse teach the parents to be alert for in a child with heart failure? Select all that apply.

-Inadequate feeding -Decreased output -Increased sweating

The nurse is providing postoperative care to a child after cardiac surgery. What does the nurse include in the child's plan of care? Select all that apply.

-Obtain vital signs frequently. -Monitor the heart rate and rhythm -Assess fluid and electrolyte balance.

A parent of a child with a heart defect tells the nurse, "I learned on a medical website that my child's heart condition will never improve." What is the nurse's best response?

"As the validity of a website cannot be assumed, it would be better to clarify this information with your primary health care provider."

The nurse is caring for an infant with the diagnosis of heart failure. What should the nurse include in the infant's plan of care to ensure adequate nutrition? Select all that apply.

-Feeds the infant soon after awakening. -Ensures the infant is well rested before feeding. -Uses a soft preemie nipple for feeding. -Strokes jaws and cheeks to encourage sucking.

The school nurse is called to the cafeteria because a child "has eaten something he is allergic to." The child is in severe respiratory distress. First, the nurse should:

have someone call for an ambulance/paramedic rescue squad

The parent of a child who is at risk for infective endocarditis (IE) asks the nurse how to prevent infection in the child. What instruction does the nurse provide to the parent?

"Take prophylactic antibiotics prior to dental work."

The parent of a child with a heart disease tells the nurse, "I usually bathe, dress, and feed my child even though I know that my child can do it. I'm worried that my child may come to some harm if I am not present." What is the nurse's best response?

"You can let the child do it and watch from a distance."

The nurse is teaching the parent of a child with hypercholesterolemia how to reduce serum cholesterol. What does the nurse include in the teaching? Select all that apply.

-"Increase intake of whole grains, fruits, and vegetables in the diet." -"You need to cook the child's food in either olive oil or canola oil." -"Include an hour of aerobic exercise in the child's daily routine." -"Make sure nobody smokes in the house when the child is around."

What information does the nurse provide to parents of a child with a chest tube when they ask about chest tube removal? Select all that apply.

-"The child will feel momentary pain during chest tube removal." -"The child will be given analgesics before the procedure." -"A chest radiograph will be taken after chest tube removal."

The nurse is assessing a child before beginning the cardiac catheterization. What does the nurse include in the assessment? Select all that apply.

-Assesses height and weight of the child -Asks about any allergic reactions -Marks the dorsalis pedis pulse -Assesses for presence of any rashes

The nurse is providing postprocedural care for a child after cardiac catheterization. What does the nurse include in the patient's plan of care? Select all that apply.

-Ensures adequate fluid intake -Monitors blood glucose levels -Monitors blood pressure -Encourages the child to void

The nurse is caring for an infant with heart failure. What does the nurse include in the infant's plan of care? Select all that apply.

-Ensures uninterrupted periods of sleep -Asks the parent to stay with the infant -Feeds the child at first signs of hunger -Provides small feedings every 3 hours

The nurse is providing care to a school-age child with heart failure. What does the nurse include in the child's plan of care? Select all that apply.

-Explain the disease process in simple terms. -Prepare the child for prescribed procedures. -Provide the child with frequent rest periods.

What does the nurse include in the teaching for a family of a child with a heart defect about the child's illness? Select all that apply.

-Explain the nature of the disease in easy to understand words. -Show a simple drawing of the heart to teach about the defect. -Provide written instructions for the family about the child's care. -Advise the parents to read about the disease on the Internet.

Which intervention can the nurse implement in order to increase calories for an infant with heart failure?

Add corn oil to the infant's formula

What is a priority nursing intervention for a child after removing the chest tube?

Auscultate breath sounds.

The nurse is providing care for a child with pulmonary artery hypertension (PAH). The child showed no response to vasodilator therapy. What does the nurse expect the primary health care provider to prescribe?

Bosentan (Tracleer)

The nurse is providing care for a child who has a congenital heart defect. The nurse suspects dysrhythmia in the child. What action does the nurse take?

Count the apical rate for 1 full minute.

The health care provider has prescribed cardiac catheterization for a school-aged child. What action does the nurse take to prepare the child and the family for the procedure?

Describe the procedure to the child and the family step-by-step.

The nurse should instruct a child to remain completely still during which procedure in which high frequency sound waves are translated into images by a transducer?

Echocardiography

The nurse is caring for a child with heart disease. Which precaution does the nurse take during cardiac monitoring with electrocardiogram?

Ensures that the electrodes are placed correctly

A child with heart failure is prescribed antibiotics for a respiratory tract infection. Which action by the nurse ensures drug effectiveness?

Give the dose at equally divided times

Which defect is present with tetralogy of Fallot?

Hypertrophy of the right ventricle

The child with hypercholesterolemia is prescribed a thyroid-stimulating hormone blood test. What is the purpose of this test? To assess:

If hypothyroidism has resulted in hypercholesterolemia

A child with heart failure is prescribed digoxin (Lanoxin) to improve myocardial function. What precaution does the nurse take after administering the drug?

Observes for signs of toxicity

What is a priority nursing intervention when administering loop diuretics to a child with heart failure?

Record the child's fluid intake and output.

An important nursing responsibility when a dysrhythmia is suspected is to:

count the apical rate for 1 full minute and compare it with the radial rate.

The nurse should explain to the parents that their child is receiving Lasix for severe congestive heart failure because it is a/an:

diuretic

The nurse is assessing the chest tube drainage in a child after cardiac surgery. Which condition indicates postoperative hemorrhage in the child? The drainage:

output is 5 mL/kg an hour

A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. The position automatically assumed by the child is:

squatting.

An early sign of congestive heart failure that the nurse should recognize is:

tachypnea

The nurse is preparing a school-age child with a cardiac defect for heart surgery. What does the nurse include in the preoperative teaching? Select all that apply.

-Show the child play areas in the facility. -Describe new equipment that will be used. -Inform about what the child will see and feel.

Which clinical symptoms in a child with heart failure indicate impaired myocardial function? Select all that apply.

-Decreased urinary output -Weak peripheral pulses -Tachycardia

The nurse is providing care for a cyanotic infant. What does the nurse assess for while caring for the child? Select all that apply.

-Respiratory infections -Clubbing of the fingers -Onset of dehydration -Decreased hematocrit

Which nursing interventions does the nurse include while suctioning a child after endotracheal extubation? Select all that apply.

-Suctioning is limited to 5 seconds at a time. -Administer oxygen before and after suctioning. -Monitor the heart rate before and after suctioning. -The child should face the nurse during suctioning.

The nurse is learning about circulatory disorders within the heart resulting from congenital heart defects. Which disorders cause cyanosis? Select all that apply.

-The blood is shunted from the right side to the left side of the heart. -Oxygenated and deoxygenated blood mixes in the heart chambers. -There is a severe obstruction located on the right side of the heart.

A diagnosis of rheumatic fever is being ruled out for a child. Which lab test(s) is/are the most reliable? Select all that apply.

-Throat culture confirming a recent streptococcal infection -Antistreptolysin-O titer (ASO) titer

The nurse is assessing a child with hypertension. Which tests will the nurse evaluate for the effects of hypertension? Select all that apply.

-Urinalysis -Complete blood count -Renal ultrasonography -Echocardiogram

The nurse is assessing an infant for possible heart disease. What questions does the nurse include in the assessment while speaking to the mother? Select all that apply.

-What chronic health conditions do you have?" -"How often did you consume alcohol when pregnant?" -"What was the infant's weight at the time of birth?" -"Does anybody in the family have heart disease?"