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Congenital Heart Defects Exam | Complete Solutions (Verified)

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Congenital Heart Defects

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Congenital Heart Defects

Congenital Heart Defects Exam | Complete Solutions (Verified) A nurse is caring for an infant who just had open-heart surgery and the parents are asking why there are wires coming out of the infant's chest. What is the best response by the nurse? A) These wires are connected to the heart and wil...

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Uploaded on November 7, 2024
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congenital heart defects
congenital heart defects exam

Institution Congenital Heart Defects
Course Congenital Heart Defects

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Congenital Heart Defects Exam

A nurse is caring for an infant who just had open-heart surgery and the parents are
asking why there are wires coming out of the infant's chest. What is the best response
by the nurse?

A) These wires are connected to the heart and will detect if your infant's heart gets out
of rhythm.

B)The wires are measuring the fluid level in the heart.

C) The wires are left in the heart for 1 month after surgery in case needed for potential
arrhythmias.

D) The wires will administer ongoing electrical shocks to the heart to maintain rhythm.

A nurse is reviewing blood work for a child with a cyanotic heart defect. What result
would most likely be seen in a client experiencing polycythemia?

A) Increased WBC

B) Decreased RBC

C) Decreased WBC

D) Increased RBC

The nurse is caring for a 5-year-old child with a congenital heart anomaly causing
chronic cyanosis. When performing the history and physical examination, what is the
nurse least likely to assess?

A) Obesity from overeating

B) Clubbing of the nail beds

C) Squatting during play activities

D) Exercise intolerance

A 2-day-old infant was just diagnosed with pulmonic stenosis. What is the most likely
nursing assessment finding?

,A) Gallop and rales

B) Blood pressure discrepancies in the extremities

C) Right ventricular hypertrophy on ECG

D) Heart murmur

An infant with tetralogy of Fallot becomes cyanotic. Which nursing intervention would be
the first priority?

A) Place the infant in the knee-chest position.

B) Start an IV for fluids.

C) Prepare the infant for surgery.

D) Raise the head of the bed.

A nurse suspects a child is experiencing cardiac tamponade after heart surgery. What
would be the priority nursing intervention?

A) Elevate the head of the bed.

B) Notify the doctor immediately.

C) Administer epinephrine.

D) Observe vitals every two hours.

A mother asks why her infant with a cyanotic heart defect turns blue. What is the best
response by the nurse?

A) This is due to the lack of oxygen to the brain.

B) This is due to a decreased amount of oxygen to the peripheral tissue.

C) This is a sign of heart failure.

D) This is considered a medical emergency and needs immediate surgery.

The nurse is caring for a 3-month-old infant with history of congenital heart disease. The
infant is brought to the emergency department with nausea and vomiting for 3 days.
Admission laboratory results confirm dehydration. The nurse realizes that the
dehydrated infant is at risk for:

, A) Seizure activity.

B) Tachycardia.

C) A cerebrovascular accident.

D) Jaundice.

Children who have defects which cause a decreased pulmonary blood flow have
decreased oxygen saturation. To compensate the kidneys produce erythropoiten to
stimulate the bone marrow to make more red blood cells. The increased red blood cells
makes the blood more viscous. If an infant with heart disease becomes dehydrated the
infant can develop thrombi from the increased amounts of red blood cells and the
viscosity of the blood. This places the infant at risk for a cerebrovascular event.

The nurse is caring for a 7-year-old who is being discharged following surgery with a
Gore® Helex device to repair an atrial septal defect. The parents of the child
demonstrate understanding of the procedure with which statements? Select all that
apply.

A) "Our child will be so excited to get back to soccer league in a few days."

B) "We will be sure to not allow our child to ride a bicycle for at least 2 weeks."

C) "It's wonderful that our child will never have an abnormal heart rhythm again."

D) "We will be sure to monitor our child for any signs of infection and notify the doctor if
we notice any."

E) "We know how important our child's medications are so we will write out a schedule
to be sure medications are taken as prescribed."

The nurse is providing child and family education prior to discharge following a cardiac
catheterization. The nurse is teaching about signs and symptoms of complications.
Which statement by the mother indicates a need for further teaching?

A) "The feeling of the heart skipping a beat is common."

B) "We need to avoid a tub bath for the next 3 days."

C) "Strenuous activity should be limited for the next 3 days."

D) "We need to watch for changes in skin color or difficulty breathing."

After assessing a child, the nurse suspects coarctation of the aorta based on a finding
of:

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Exam (elaborations)

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