Exam 26: Caring for the Child With a Cardiovascular Condition

A student nurse is caring for a child several hours after open heart surgery.Which action by the student requires intervention by the registered nurse?

A child has been diagnosed with an atrioventricular canal defect (AVC).While awaiting surgical correction,which teaching takes priority?

Which is the average oxygen saturation of blood in the right atrium?

An infant has critical aortic stenosis.The physician orders several medications for the infant.Which prescribed medications would the nurse question for this infant?

A nurse notes that a child has clubbed fingernails.Which laboratory finding would the nurse correlate with this assessment?

A student nurse asks the faculty why a child with patent ductus arteriosus (PDA)is taking a nonsteroidal anti-inflammatory drug (NSAID).Which response by the faculty is the most appropriate?

A child has coarctation of the aorta (CoA).The parents report that the child is hesitant to participate in activities due to aching in his legs.Which information does the nurse provide?

The nurse is assigned to four patients on the pediatric progressive care unit.After receiving shift report,which patient should the nurse see first?

A 3-year-old child is 4 hours post-cardiac catheterization via the right femoral artery.Which assessment finding should the nurse report to the provider?

A student nurse records a systolic blood pressure of 106 mm Hg for a 4-year-old child.Which response by the registered nurse is best?

An infant is discharged after open heart surgery.The infant is going home on oxygen and with multiple medications.Which instruction by the nurse is the priority?

A child has truncus arteriosus with hypotension and poor perfusion.Which medication does the nurse prepare to administer?

A nurse notes that a child's chart describes a heave.Which assessment should the nurse perform to correlate with this finding?

A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD).Two hours later the child is pale,tachycardic,and hypotensive.Which action by the nurse takes priority?

A child is suspected of having neurally mediated syncope.Which diagnostic test does the nurse prepare the child for?

A nurse is concerned that a child with pulmonary hypertension (PA)is developing heart failure.Which manifestation would the nurse assess for first?

A child is scheduled for open heart surgery.Which nursing action is the priority?

A child is being released from the hospital after surgical correction of an atrioventricular canal defect (AVC).What referral by the nurse is most appropriate?

The student studying pediatric cardiac disorders learns that which anomalies comprise the disorder tetralogy of Fallot?

A child has been admitted for suspected bacterial endocarditis.What action takes priority?