Exam 29: The Child with Cardiovascular Dysfunction

The test that provides the most reliable evidence of recent streptococcal infection is which?

The nurse finds that a 6-month-old infant has an apical pulse of 166 beats/min during sleep. What nursing intervention is most appropriate at this time?

The nurse is caring for a child with Kawasaki disease in the acute phase. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

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

What sign/symptom is a major clinical manifestation of rheumatic fever (RF)?

When caring for the child with Kawasaki disease, what should the nurse know to provide safe and effective care?

What drug is an angiotensin-converting enzyme (ACE) inhibitor?

What type of drug reduces hypertension by interfering with the production of angiotensin II?

A 2-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than which rate?

What action by the school nurse is important in the prevention of rheumatic fever (RF)?

MATCHING Match the cardiac terms with their definitions. -Has two leaflets

An adolescent is being placed on an ACE inhibitor. What should the nurse inform the adolescent with regard to this medication? (Select all that apply.)

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

A cardiac defect that allows blood to shunt from the (high pressure) left side of the heart to the (lower pressure) right side can result in which condition?

The nurse is giving discharge instructions to the parent of a 6-year-old child who had a cardiac catheterization 4 hours ago. What statement by the parent indicates a correct understanding of the teaching?

The diagnosis of hypertension depends on accurate assessment of blood pressure (BP). What is the appropriate technique to measure a child's BP?

What blood flow pattern occurs in a ventricular septal defect?

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

The physician suggests that surgery be performed for patent ductus arteriosus (PDA) to prevent which complication?

Match the normal findings of an ECG with their definitions. -Represents ventricular depolarization