Exam 23: The Child with Cardiovascular Dysfunction

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

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

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

The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?

Seventy-two hours after cardiac surgery, a young child has a temperature of 101° F. Which action should the nurse take?

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

When discussing hyperlipidemia with a group of adolescents, which high level labs should the nurse explain can prevent cardiovascular disease?

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?

The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands?

The nurse is assessing a child after a cardiac catheterization. Which complication should the nurse be assessing for?

What is the primary nursing intervention to prevent bacterial endocarditis?

Which painful, tender, pea-sized nodules may appear on the pads of the fingers or toes in bacterial endocarditis?

The nurse is conducting a staff in-service on childhood-acquired heart diseases. Which is a major clinical manifestation of rheumatic fever?

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?

José is a 4-year-old child scheduled for a cardiac catheterization. What should be included in preoperative teaching?

Which type of shock is characterized by a hypersensitivity reaction causing massive vasodilation and capillary leaks, which may occur with drug or latex allergy?

The nurse is teaching parents about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?

Which is the most common causative agent of bacterial endocarditis?

An 8-year-old child 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 preparing an adolescent for discharge after a cardiac catheterization. Which statement by the adolescent would indicate a need for further teaching?