Exam 25: The Child with Cardiovascular Dysfunction

The primary nursing intervention to prevent bacterial endocarditis is to:

Which is a common,serious complication of rheumatic fever?

Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion.The nurse's reply should be based on which statement?

Surgical closure of the ductus arteriosus would:

A chest radiograph film is ordered for a child with suspected cardiac problems.The child's parent asks the nurse,"What will the radiograph show about the heart?" The nurse's response should be based on knowledge that the x-ray film will show:

Which is an important nursing consideration when chest tubes will be removed from a child?

The nurse is admitting a child with coarctation of the aorta.Which figure depicts this congenital heart defect?

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting.While an airway is being established,the nurse should prepare which medication for immediate administration?

A 6-month-old infant is receiving digoxin (Lanoxin).The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.

The nurse is conducting a staff in-service on congenital heart defects.Which structural defect constitutes tetralogy of Fallot?

Which occurs in septic shock?

A preschool child is scheduled for an echocardiogram.Parents ask the nurse whether they can hold the child during the procedure.The nurse should answer with which response?

José is a 4-year-old child scheduled for a cardiac catheterization.Preoperative teaching should be:

Nursing interventions for the child after a cardiac catheterization should include which actions? (Select all that apply.)

The nurse is teaching nursing students about shock that occurs in children.One of the most frequent causes of hypovolemic shock in children is:

The nurse is preparing an adolescent for discharge after a cardiac catheterization.Which statement by the adolescent would indicate a need for further teaching?

Which is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?

When discussing hyperlipidemia with a group of adolescents,the nurse should explain that cardiovascular disease can be prevented by high levels of:

Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock?

Which explanation regarding cardiac catheterization is appropriate for a preschool child?