Exam 26: Caring for the Child With a Cardiovascular Condition

A child has significant polycythemia.When consulting with the health-care provider,which intervention does the nurse inquire about?

A child has been admitted with Kawasaki disease and is started on aspirin and warfarin (Coumadin).For which nursing diagnosis does the nurse plan interventions as the priority?

A child is hospitalized with heart failure and is receiving furosemide (Lasix).Which nursing action is the priority?

Which information about exercise should the nurse give the parents of a child with heart failure?

The student is learning about atrioventricular canal defects (AVCs).Which information stated by the student reflects appropriate understanding of the disease process?

A nurse is concerned that a child may have renal failure after open heart surgery.Which laboratory value does the nurse assess as the priority to determine the child's kidney function?

A child has a large ventricular septal defect (VSD)with left-to-right shunting.Which information about VSDs does the faculty member explain to the nursing student?

A 42-lb (19-kg)child is admitted for initial management of cardiomyopathy (CMP).The physician leaves orders for carvedilol (Coreg),15 mg orally twice a day.What action by the nurse is most appropriate?

A 12-year-old child has been diagnosed with long QT syndrome.Which teaching by the nurse is most important?

The mother of a toddler reports to the nurse that the child becomes cyanotic when he cries.Which question by the nurse is most important to ask the mother?

A nurse is teaching a group of parents about bacterial endocarditis (BE)and follow-up care.Which parents should be instructed to obtain prophylactic antibiotics prior to dental cleaning?

At a well-child visit,the nurse notes a 4-year-old child to be in the 95th percentile for weight.Which screening measure is most important for the nurse include in this visit?

A nurse is monitoring a child after an interventional catheterization for PDA.Before the procedure,blood pressure was 98/42 mm Hg.After the procedure,blood pressure was 98/74 mm Hg.One hour later,the blood pressure is 96/34 mm Hg.What action by the nurse is best?

A nursing faculty member is explaining the three different types of cardiomyopathy (CMP)to students.Which information does the faculty member include in this discussion?

A child is in the pediatric intensive care unit 2 hours after a surgical repair of an atrial septal defect (ASD).Postoperative nursing actions include which of the following?

A nurse is admitting a child scheduled for a Fontan repair.Which condition does the nurse understand the child to have?

A child diagnosed with a heart murmur is scheduled for an echocardiogram.Which information about this diagnostic test does the nurse provide to the family?

Which artery carries deoxygenated blood?

A nurse is assessing patients for the presence of patent ductus arteriosus (PDA).Which patient should the nurse assess first?

A nurse is teaching a community class on heart disease in children.Which information about prevention is most important for the nurse to share?