NUR 236 PrepU Chapter 41: Nursing
Care of the Child With an Alteration in
Perfusion/Cardiovascular Disorder
A nurse is teaching the parents of a child diagnosed with rheumatic fever about prescribed drug therapy.
Which statement would indicate to the nurse that additional teaching is needed? - correct answer
✔✔"We can stop the penicillin when her symptoms disappear."
A nurse is caring for a child with Kawasaki disease. Which assessment finding would the nurse expect to
see? - correct answer ✔✔Peeling hands and feet; fever
A child is diagnosed with rheumatic fever. For which medication will the nurse educate the caregivers? -
correct answer ✔✔nonsterioidal anti-inflammatory drugs (NSAIDs)
The nurse is caring for a 6-year-old child with a congenital heart defect. To best relieve a hypercyanotic
spell, what action would be the priority? - correct answer ✔✔Place the child in a knee-to-chest position.
A mother is asking for more information about her infant's patent ductus arteriosus (PDA). What would
be included in the education? - correct answer ✔✔This is caused by an opening that usually closes by 1
week of age.
The nurse is caring for an infant with Down syndrome who has been diagnosed with atrioventricular
canal defect. The parents asks the nurse, "Why do you not put oxygen on our baby more often when his
lips and fingernails are blue?" What is the best response by the nurse? - correct answer ✔✔"While it
seems that oxygen would help, it actually worsens this condition. Treating the cause of the disease will
help."
When reviewing the record of a child with tetralogy of Fallot, what would the nurse expect to discover? -
correct answer ✔✔Polycythemia
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