Week 4
A nurse is assessing a newborn with suspected retention of a fetal structure that will result in a congenital heart defect. Which fetal structures should undergo change after birth? Select all that apply. - pulmonary arteries - mitral valve - pulmonary veins - foramen ovale - ductus arterious
- foramen ovale - ductus arteriosus
A child who weighs 20 kg is being immunosuppressed by doses of tacrolimus to prevent heart transplant rejection, given twice a day. How many milligrams should the nurse plan to administer per each dose? Record your answer in a whole number. _____________ mg
6 mg
An infant is experiencing supraventricular tachycardia (SVT). Which intervention should be attempted first? - synchronized cardioversion - vagal maneuver, such as ice to the face - administration of adenosine - administration of digoxin
vagal maneuver, such as ice to the face
A client's chest tube has accidentally dislodged. What is the nursing action of highest priority? - apply a petroleum gauze dressing over the site - place the client in a left side-lying position - prepare to reinsert a new chest tube - apply oxygen via non-rebreather mask
apply a petroleum gauze dressing over the site
Which of the following data, documented by the nurse, is consistent with coarctation of the aorta? - arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses - arm blood pressure 105/85, leg blood pressure 105/85, strong pedal pulses - arm blood pressure 60/30, leg blood pressure 105/85, weak pedal pulses - arm blood pressure 105/85, leg blood pressure 105/85, weak radial pulses
arm blood pressure 105/85, leg blood pressure 60/30, strong radial pulses
A client with Down Syndrome (Trisomy 21) comes to the pediatric clinic for a well visit. Which cardiac anomaly would this child be at highest risk for considering his health history? - cardiomyopathy - tetralogy of fallot - pulmonary stenosis - atrioventricular septal defect (AVSD)
atrioventricular septal defect (AVSD)
A cardiac catheterization is performed on an infant. After the procedure, the leg used for the catheter insertion site becomes mottled, or discolored. What is the first action the nurse should take? - notifying the primary healthcare provider - covering the leg with a blanket - elevating the leg - checking the pulse in the extremity
checking the pulse in the extremity
The nurse is teaching the parents of a child with Kawasaki disease. Which statement should the nurse include in her teaching about this disorder? - diagnosis can be made with laboratory testing - you can stop administering the aspirin as soon as discharged - it's an acute systemic vasculitis of unknown cause - it occurs mostly in adolescents
it's an acute systemic vasculitis of unknown cause
A 3 month old infant with tetralogy of fallot is admitted for a diagnostic workup in preparation for corrective surgery. The morning after cardiac catheterization the infant suddenly becomes cyanotic and begins breathing rapidly. Which is the nursing action of highest priority? - administer IV adenosine - apply oxygen - administer IV morphine - place the infant in knee-chest position
place the infant in knee-chest position
A nurse is reviewing the laboratory values of a school aged child with rheumatic heart disease. Which finding does the nurse conclude is related to this condition? - low erythrocyte sedimentation rate - increased reticulocyte count - negative c-reactive protein - positive antistreptolysin titer
positive antistreptolysin titer
