Exam 26: The Child With a Cardiovascular Disorder

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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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B

A 16-year-old patient is diagnosed with primary hypertension.What risk factors does the nurse mention when providing education on this diagnosis to the patient and his family? (Select all that apply. )

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A,B,D,E

A pediatric patient is scheduled for a noninvasive procedure to determine if his heart is structurally normal and to localize a murmur.What diagnostic test does the nurse anticipate?

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D

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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Which assessment would lead the nurse to suspect that a newborn infant has a ventricular septal defect?

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The nurse is planning a hypertension-prevention program.What should be the main focus of the nurse when presenting information?

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An infant with congestive heart failure is receiving digoxin (Lanoxin).What does the nurse recognize as a sign of digoxin toxicity?

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What are the four structural heart anomalies that make up the tetralogy of Fallot? (Select all that apply. )

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What is accurate about the characteristics of high-density lipoproteins (HDLs)?

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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?" On what understanding is the nurse's response based?

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A child with rheumatic fever begins involuntary,purposeless movements of her limbs.What does the nurse recognize that this indicates?

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A child develops carditis from rheumatic fever.Which areas of the heart are affected by carditis?

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What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?

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The parent of a 1-year-old child with tetralogy of Fallot asks the nurse,"Why do my child's fingertips look like that?" On what understanding does the nurse base a response?

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Through what does the infant born with hypoplastic left heart syndrome acquire oxygenated blood?

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A father asks why his child with tetralogy of Fallot seems to favor a squatting position.What is the nurse's best response?

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How long should a 4-year-old child recovering from rheumatic fever need to receive monthly injections of penicillin G?

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What does the nurse explain that a ventricular septal defect will allow?

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The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic.Which statement by the father leads the nurse to determine he understood the instructions?

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Which comment made by a parent of a 1-month-old infant would alert the nurse about the presence of a congenital heart defect?

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