Exam 2 (Peds) Chapter 42 – The Child with a Cardiovascular Dysfunction | With Verified Answers
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Pediatrics
Exam 2 (Peds) Chapter 42 – The Child with a Cardiovascular Dysfunction | With Verified Answers Which complication should the nurse assess for when caring for a child post cardiac catheterization? a. Cardiac arrhythmia b. Hypostatic pneumonia c. Congestive heart failure d. Rapidly increasing blo...
Exam 2 (Peds) Chapter 42 – The Child with a
Cardiovascular Dysfunction
Which complication should the nurse assess for when caring for a child post cardiac
catheterization?
a. Cardiac arrhythmia
b. Hypostatic pneumonia
c. Congestive heart failure
d. Rapidly increasing blood pressure
Jose is 4 year old. Preoperative teaching for a 4-year-old child scheduled for a cardiac
catheterization should be done with what primary consideration in mind?
a. Directed at his parents because he is too young to understand.
b. Detailed in regard to the actual procedures so he will know what to expect.
c. Done several days before the procedure so that he will be prepared.
d. Adapted to his level of development so that he can understand.
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 is the most appropriate initial nursing action?
a. Notify the physician.
b. Apply a new bandage with more pressure.
c. Place the child in the Trendelenburg position.
d. Apply direct pressure above the catheterization site.
Which defect results in increased pulmonary blood flow?
a. Pulmonic stenosis
b. Tricuspid atresia
c. Atrial septal defect
d. Transposition of the great arteries
Which structural defects constitute tetralogy of Fallot?
a. Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular
hypertrophy
b. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular
hypertrophy
c. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
d. Pulmonic stenosis, ventricular septal defect, aortic hypertrophy, left ventricular
hypertrophy
,What is best described as the inability of the heart to pump an adequate amount of
blood to the systemic circulation at normal filling pressures?
a. Pulmonary congestion
b. Congenital heart defect
c. Congestive heart failure
d. Systemic venous congestion
A clinical manifestation of the systemic venous congestion that can occur with
congestive heart failure is:
a. Tachypnea.
b. Tachycardia.
c. Peripheral edema.
d. Pale, cool extremities.
A beneficial effect of administering digoxin (Lanoxin) is that it:
a. Decreases edema.
b. Decreases cardiac output.
c. Increases heart size.
d. Increases venous pressure.
Which drug is an angiotensin-converting enzyme (ACE) inhibitor?
a. Captopril (Capoten)
b. Furosemide (Lasix)
c. Spironolactone (Aldactone)
d. Chlorothiazide (Diuril)
The nurse is evaluating a child who is taking digoxin for her cardiac condition. The
nurse is cognizant that a common sign of digoxin toxicity is:
a. Seizures.
b. Vomiting.
c. Bradypnea.
d. Tachycardia.
The parents of a young child with congestive heart failure tell the nurse that they are
"nervous" about giving digoxin. The nurse's response should be based on knowing that:
a. It is a safe, frequently used drug.
b. It is difficult to either overmedicate or undermedicate with digoxin.
c. Parents lack the expertise necessary to administer digoxin.
d. Parents must learn specific, important guidelines for administration of digoxin.
, As part of the treatment for congestive heart failure, the child takes the diuretic
furosemide. 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:
a. Chlorides.
b. Potassium.
c. Sodium.
d. Vitamins.
An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse's
first action should be to:
a. Assess for neurologic defects.
b. Place the child in the knee-chest position.
c. Begin cardiopulmonary resuscitation.
d. Prepare the family for imminent death.
The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect.
The nurse recognizes that a risk of cerebrovascular accidents (strokes) exists. An
important objective to decrease this risk is to:
a. Minimize seizures.
b. Prevent dehydration.
c. Promote cardiac output.
d. Reduce energy expenditure.
Parents of a 3-year-old child with congenital heart disease are afraid to let their child
play with other children because of possible overexertion. The nurse's reply should be
based on knowing that:
a. The child needs opportunities to play with peers.
b. The child needs to understand that peers' activities are too strenuous.
c. Parents can meet all the child's needs.
d. Constant parental supervision is needed to avoid overexertion.
When preparing a school-age child and the family for heart surgery, the nurse should
consider:
a. Not showing unfamiliar equipment.
b. Letting child hear the sounds of an electrocardiograph monitor.
c. Avoiding mentioning postoperative discomfort and interventions.
d. Explaining that an endotracheal tube will not be needed if the surgery goes well.
Seventy-two hours after cardiac surgery, a young child has a temperature of 37.7 C
(101 F). The nurse should:
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