Exam 23: The Child with Cardiovascular Dysfunction

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?" What knowledge about the x-ray should the nurse include in the response to the parents?

Which is an important nursing consideration when suctioning a young child who has had heart surgery?

What clinical manifestation is included in toxic shock syndrome?

The nurse is caring for a child after heart surgery. What should the nurse do if evidence of cardiac tamponade is found?

The nurse is caring for a school-age child who has had a cardiac catheterization. The child tells the nurse that the bandage is "too wet." The nurse finds the bandage and bed soaked with blood. What is the priority nursing action?

A child is brought to the emergency department experiencing an anaphylactic reaction to a bee sting. Once the airway is established, the nurse should do which action? Place in correct sequence. Provide the answer using lowercase letters separated by commas (e.g., a, b, c). A) Administer epinephrine. B) Keep the child warm and calm. C) Obtain vascular access.

An infant with an unrepaired tetralogy of Fallot defect is becoming extremely cyanotic during a routine blood draw. Which interventions should the nurse implement? Place in order from the highest-priority intervention to the lowest-priority intervention. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d). A) Administer 100% oxygen by blow-by. B) Place the infant in knee-chest position. C) Remain calm. D) Give morphine subcutaneously or by an existing intravenous line.

A nurse is teaching nursing students the physiology of congenital heart defects. Which defect results in decreased pulmonary blood flow?

Which occurs in septic shock?

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.

Which action by the school nurse is important in the prevention of rheumatic fever?

The parents of a young child with heart failure tell the nurse that they are "nervous" about giving digoxin (Lanoxin). The nurse's response should be based on which statement?

Which clinical manifestation should the nurse expect to see as shock progresses in a child and becomes decompensated shock? (Select all that apply.)

The nurse is conducting discharge teaching about signs and symptoms of heart failure to parents of an infant with a repaired tetralogy of Fallot. Which signs and symptoms should the nurse include? (Select all that apply.)

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

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?

The nurse is talking to a parent of an infant with heart failure about feeding the infant. Which statement about feeding the child is correct?

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

Which defect results in increased pulmonary blood flow?

As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in which nutrient?