NUR 425 Cardiovascular Disorder (EXAM 3) Practice Questions and Correct Answers
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Course
NUR 425
Institution
NUR 425
Poor weight gain, poor feeding, frequent respiratory infection, exercise intolerance, sibling/parent with cardiac defect what is the history of a child with a cardio problem?
Increase hr, rr, widen pulse pressure, poor color, clubbing, murmur what are physical assessments of a child with a cardiov...
NUR 425 Cardiovascular Disorder
(EXAM 3) Practice Questions and
Correct Answers
Poor weight gain, poor feeding, frequent respiratory infection, exercise intolerance,
sibling/parent with cardiac defect ✅what is the history of a child with a cardio problem?
Increase hr, rr, widen pulse pressure, poor color, clubbing, murmur ✅what are physical
assessments of a child with a cardiovascular problem?
Oxygen saturation ✅what test before discharge looks for cardiac defects?
Grade I murmur ✅barely audible in a quiet room
Grade IV murmur ✅Loud with thrill
Grade II murmur ✅quiet but clearly audible
Grade III murmur ✅moderately loud, easy to hear murmur
Grade VI murmur ✅exceptionally loud, audible without stethoscope
Grade V murmur ✅very loud, thrill easily palpable
X-ray ✅see the size and shape of the heart
ECG ✅tracks electrical activity of the heart
Echocardiogram ✅ultrasound of the heart to see the flow
Cardiac catheterization (CC) ✅passage of a catheter into the heart through a vein or
artery to provide a comprehensive evaluation of the heart
Weight, height, NPO, no diaper rash, no infections ✅what are the pre-op instructions
for cardiac catheterization?
Vitals, dressing, lay flats, pulses distal to site, straight for 4-6 hours ✅what are the post
op instructions for cardiac catheterization?
, Oxygen saturation, oxygen, intubation, prostaglandin, indomethacin/ibuprofen, code
cart, arterial line ✅what are different types of immediate treatment for a cardiac
problem?
Vena Cava > Right Atrium > Tricuspid Valve > Right Ventricle > Pulmonary Valve >
Pulmonary Arteries > Lungs > Pulmonary Veins > Left Atrium > Mitral Valve > Left
Ventricle > Aortic Valve > Aorta ✅what is the pathway through the heart?
Ductus venosus ✅connects the umbilical vein to the inferior vena cava, bypassing the
liver while the baby is in utero
Ductus arteriosus ✅connects the pulmonary artery to the aorta, bypassing the lungs, it
should close after birth
Murmur close to sternum, baby will be pink ✅what are the assessments we will see
with ductus arteriosus?
Atrial septal defect (ASD) ✅hole between the two atria
Left to right ✅where will shunting be with ASD?
Pink, murmur ✅what assessments will we see with ASD?
Wait to close, cardiac catheterization, placement of patch over hole ✅what are the
treatments for ASD?
Ventricular septal defect (VSD) ✅note between ventricles, more serious than ASD,
rarely closes on own
Left to right ✅which way is the blood shunting in a VSD?
The left side is more pressure and stronger ✅why does blood shunt from the left to the
right side of the heart?
Pink, murmur ✅what are the assessments we will see on a child that has VSD?
Patent ductus arteriosus (PDA) ✅an abnormal opening between the pulmonary artery
and the aorta caused by failure of the fetal ductus arteriosus to close after birth
Left to right ✅which way will the blood shunt with a patient that has a patent ductus
arteriosus?
Indomethicin/ibuprofen, it will close the hole ✅what is the treatment for patent ductus
arteriosus? Why?
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