Exam 26: The Child with a Cardiovascular Disorder

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How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? Select all that apply.

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A, B, C, E

Because the diagnosis of rheumatic fever is difficult, an aid used to identify the presence of rheumatic fever is the _____________ _______________.

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Jones criteria
The Jones criteria identify a cluster of symptoms and divide them into major criteria and minor criteria. The formula for making the diagnosis of rheumatic fever is to identify two major criteria in the patient, or one major and two minor criteria.

The nurse explains that the difference between the systolic blood pressure reading and the diastolic blood pressure reading is called the __________ ___________.

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pulse pressure
The pulse pressure is the difference between the diastolic pressure and the systolic pressure

The assessment that would lead the nurse to suspect that a newborn infant has a ventricular septal defect is:

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A child has an elevated antistreptolysin O (ASO) titer. Which combination of symptoms, in conjunction with this finding, would confirm a diagnosis of rheumatic fever?

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When a father asks why his child with tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting:

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The nurse explains that which congenital cardiac defect(s) cause(s) increased pulmonary blood flow? Select all that apply.

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The nurse clarifies to the parents of a 4-year-old child recovering from rheumatic fever that the child will need to receive monthly injections of penicillin G for a minimum of _____ year(s).

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The nurse takes into consideration that the most common congenital heart defect is the ____________ ____________ defect.

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An infant is experiencing dyspnea related to patent ductus arteriosus (PDA). The nurse understands dyspnea occurs because blood is:

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An appropriate nursing action related to the administration of digoxin (Lanoxin) to an infant would be:

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The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. The nurse can determine the father understood the instructions when he states "If the baby turns blue, I will:

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The nurse is caring for a child with a diagnosis of Kawasaki disease. The child's parent asks the nurse, "How does Kawasaki disease affect my child's heart and blood vessels?" The nurse's response is based on the understanding that:

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The nurse is aware that the characteristics of high-density lipoproteins (HDLs) are that they:

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An infant with congestive heart failure is receiving digoxin (Lanoxin). The nurse recognizes a sign of digoxin toxicity, which is:

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The school nurse recommends a heart healthy diet that limits fats to no more than ____% of the total dietary intake.

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What assessment(s) in a child with tetralogy of Fallot would indicate the child is experiencing a paroxysmal hypercyanotic episode? Select all that apply.

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The nurse uses a diagram to illustrate what four structural heart anomalies that comprise tetralogy of Fallot? Select the four that apply.

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The comment made by a parent of a 1-month-old that would alert the nurse about the presence of a congenital heart defect is:

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The finding the nurse would expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta is blood pressure that is:

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