Cardiovascular Dysfunction Practice Questions

Front

In a physical assessment of an infant with a ventricular septal defect (VSD), the nurse notices dyspnea, hepatosplenomegaly, and periorbital edema and understands that these are clinical manifestations of:

Back

Heart failure

Front

Which nursing intervention is not appropriate when caring for an infant with cardiovascular alterations? Options: Discouraging breastfeeding, Limiting bottle feedings to no longer than 30 minutes, Maintaining a neutral thermal environment, Providing periods of uninterrupted rest

Back

Discouraging breastfeeding

Front

While the nurse is performing a newborn assessment, he finds that the infant’s blood pressure in her arms is much higher than in her legs. The nurse suspects that the infant has:

Back

Coarctation of the aorta

Front

While the nurse is taking routine vital signs, she notices that the infant is having a hypercyanotic episode. What should the nurse do first?

Back

Place the infant in a knee-chest position

Front

The father of a child with a congenital heart defect asks the nurse why his daughter has to take penicillin before she gets her teeth cleaned by the dentist. The nurse explains that this is necessary to prevent:

Back

Infective endocarditis

Front

A pediatrician has prescribed oxygen as needed for an infant with an acyanotic heart defect. In which situation should the nurse administer the oxygen to the infant? Options: During sleep, When changing the infant's diaper, When the mother is holding the infant, When drawing blood for electrolyte level testing

Back

When drawing blood for electrolyte level testing

Front

An infant with a congenital heart defect has irritability, pallor, and increased cyanosis. The best response to explain the bluish color is:

Back

related to hemoglobin level and oxygen saturation.

Front

Which physiological changes occur as a result of hypoxemia in congestive heart failure?

Back

polycythemia and clubbing