Exam 46: The Child with a Cardiovascular Alteration

For what reason might a newborn infant with a cardiac defect,such as coarctation of the aorta,that results in a right-to-left shunt receive prostaglandin E??

The nurse discovers a heart murmur in an infant 1 hour after birth.What does the nurse know about when fetal shunts close in the neonate?

The nurse working in the newborn nursery notices an infant who is having circumoral cyanosis.Which CHD does the nurse suspect the child may have? (Select all that apply.)

A nurse is conducting a class for nursing students about fetal circulation.Which statement is accurate about fetal circulation and should be included in the teaching session?

The nurse caring for a child diagnosed with acute rheumatic fever should assess the child for which of the following?

The nurse is admitting a child who has been diagnosed with Kawasaki disease.What is the most serious complication for which the nurse should assess in Kawasaki disease?

Which defect results in increased pulmonary blood flow?

Which postoperative intervention should be questioned for a child after a cardiac catheterization?

What is an expected assessment finding in a child with coarctation of the aorta?

A child has a total cholesterol level of 180 mg/dL.What dietary recommendations should the nurse make to the child and the child's parents? (Select all that apply.)

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

Which CHD results in increased pulmonary blood flow?

What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate,is sweating,and is not feeding well?

The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur.What action by the nurse is most appropriate?

The primary nursing intervention to prevent bacterial endocarditis is which of the following?

Which strategy is appropriate when feeding the infant with congestive heart failure?

The nurse is caring for a child with Kawasaki disease.The child weighs 33 pounds.When initiating aspirin therapy,what dose does the nurse prepare to administer?

Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?

Nursing care for the child in congestive heart failure includes which of the following activities?

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery.The nurse instructs the parents to notify the physician if which conditions occur? (Select all that apply.)