pets

sings of CHF

Four signs of CHF Tachycardia Tachypnea Enlarged heart Enlarged liver

may assist in closing PDA

PDA: indomethacin or ibuprofen

The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse should assess the infant for which EARLY sign of HF? 1. Pallor 2. Cough 3. Tachycardia 4. Slow and shallow breathing

Tachycardia

What is prostaglandin used for?

When there is mixed blood flow to keep the PDA open

What meds do you give to a child with Kawasaki? SATA/single answer

asprin IVIG

Where do you listen to the heartbeat of an infant?

at the apex

ASD 3 month old with CHF what would the nurse expect to hear?

crackles

decreased pulmonary blood flow includes

cyanosis hypercynotic spells poor weightgain polycythimia tricuspid atresia

The nurse is caring for a school-age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is "too wet." The nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is to :a. Notify the physician. b. Apply a new bandage with more pressure. c. Place the child in the Trendelenburg position. d. Apply direct pressure above the catheterization site.

d

What are acute symptoms of Kawasaki?

fever conjunctival hypermia lymph node enlargement strawberry tongue

what does the nurse do with a child having a pet spell? SATA

knees to chest Adminster 02 morphine if ordered

what is the correct way to administer digoxin?

regular intervals

a patient comes in with possible rheumatic fever what is a manifestation?

sore throat

when is proseglanden used

transporion of the great vessels

polycythemia

- increased # of RBC's results in viscous blood and risk of clots forming

What are the 4 defects of Tetralogy of Fallot?

-Pulmonary stenosis -ventricular septal defect -overriding aorta -right ventricular hypertrophy

The nurse assesses a 4 month old with a ventricular septal defect who is being maintained on digoxin and Lasix until a repair is scheduled. Which finding in this patient suggests digoxin toxicity ? 1.Bradycardia and vomiting 2. Headache and diahreah

1

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. the nurse should use which most appropriate method to measure urine output 1. weight the diaper 2.insert urinary catheter 3.compare intake and output 4measure the amount of water added to the formula

1

The nursing priority in the discharge plan for an 8 year old following treatment for Kawasaki disease is? 1. Teaching the parents about side effects of aspirin 2. Teaching the parents to count apical pulse to administer digoxin 3. Referring family to a community home care nursing facility 4. Teaching the importance of reporting dark stool from the child

1

6. A nurse is assessing a 3 year old child who has aortic stanosis. Which of the following findings should the nurse expect SATA 1. Hypotension 2. Bradycardia 3. Clubbing of nails 4. Weak pulse 5. Murmer

1,4,5

he nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which MOST APPROPRIATE method to assess the urine output? 1. Weighing the diapers 2. Inserting a Foley catheter 3. Comparing intake with output 4. Measuring the amount of water added to formula

1. Weighing the diapers

An 8 month old infant has a hyper cyanotic spell while blood is being drawn. What is the priority nursing action? 1.Asses for neurological defects 2.Place child in the knee to chest position 3.Begin cardiopulmonary resuscitation 4.prepare family for imminent death

2

The clinic nurse reviews the record of a child just seen by a health care provider and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? 1 pallor 2 hyperactivity 3 exercise intolorance 4.gestational disturbances

3

assessment findings of an infant admitted to the hospital reveals a machinery-like murmer upon auscultation of the heart and signs of heart failure.what part of the heart hs this quality? 1 aortic stanosis 2 arterial septal defect 3 patent ductus arterioles 3 ventricular septal defect

3

5. Which of the following will be expected in the health history of a 7 year old with a new diagnosis of acute glomerulonephritis? 1.Four urinary tract infections over the past year 2. Small amount of small pale urine with a specific gravity of 1.002 3.A sore throat for 2 weeks 4. A six point weight gain over the past week

3.A sore throat for 2 weeks

8. A lumbar puncture is preformed on an infant suspected of having meningitis. Which finding does the nurse except in the cerebral spinal fluid if the inferno has meningitis 1. Decreased WBC count 2. Normal glucose 3.Elevated RBC count 4. Elevated WBC count

4

A health care provider has prescribed oxygen as needed for an infant with heart failure. In which situation should the nurse administer the oxygen to the infant? 1.during sleep 2.when changing the infants diaper 3. when the mother is holding the infant 4 when drawing blood for electrolyte level testing

4

The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for administration of digoxin (Lanoxin). Which statement made by the parent indicates the NEED FOR FURTHER INSTRUCTION? 1. "I will not mix the medications with the food." 2. "I will take my child's pulse before administering the medication." 3. If more than one dose is missed, I will call the health care provider." 4. "If my child vomits after medication administration, I will repeat the dose."

4

A child with rheumatic fever will be arriving in the nursing unit for admission. On admission assessment, the nurse should ask the parents which question to elicit assessment information specific to the development of rheumatic fever? 1. "Has the child complained of back pain?" 2. "Has the child complained of headaches?" 3. "Has the child had any nausea or vomiting?" 4. "Did the child have a sore throat or fever within the last 2 months?"

4. "Did the child have a sore throat or fever within the last 2 months?"