PEDIATRIC CARDIAC STRESSORS

Front

The nurse explains to the mother of a child with a ventricular septal defect (VSD) that this defect allows:

Back

blood to shunt left to right, causing increased pulmonary flow and no cyanosis- therefore oxygen therapy may be helpful.

Front

The mother of a 6 month old infant with VSD, who is taking digoxin, states that the baby has not been feeding well lately and, "is throwing up, but it is many hours after a feeding." What does the nurse suspect is the cause?

Back

Possible digoxin toxicity

Front

During a routine assessment, the father of a hospitalized 3 mo. old infant with heart failure asks the nurse why they waited to assess, feed, and change the baby all at one time. What answer given by the nurse is best?

Back

I want to take care of all of the baby's needs at once to decrease stress and cardiac demands.

Front

When a father asks why his 3 year-old child with Tetralogy of Fallot seems to favor a squatting position, the nurse would explain that squatting, or a knees-to-chest position:

Back

increases the return of venous blood back to the heart.

Front

Which comment made by the parent of a 1-month-old with a cyanotic congenital heart defect, alerts the nurse that more teaching is necessary? Options: "I have made the nipple opening larger for easier flow and less time taken."; "I will keep a regular feeding schedule and look for hunger cues."; "I will thicken the formula so he does not eat to fast and is more satisfied."

Back

"I will thicken the formula so he does not eat to fast and is more satisfied."

Front

The nurse is caring for a 3 year-old child admitted for a surgical repair of a cyanotic congenital heart defect. Which expected finding(s) AND matching intervention(s) is correct? *capillary refill time of 4-5 seconds, *keep child hydrated and cluster care

Back

capillary refill time of 4-5 seconds; keep child hydrated and cluster care

Front

What blood pressure finding(s) would be expected in a 2 mo. old infant with coarctation of the aorta? Right arm - 94/68, Right leg - 58/34, Left arm - 98/66, Right arm - 60/38, Left arm - 75/38, Left leg - 92/62

Back

Right arm - 94/68, Right leg - 58/34

Front

During a pediatric check-up the nurse notices a child with a history of Kawasaki Disease. What complication should he be most concerned about?

Back

Development of coronary artery aneurysms.

Front

A 5-year-old girl diagnosed with Kawasaki Disease is scheduled to receive the chickenpox vaccine. What is the best teaching by the nurse?

Back

To alert the MD, as any live vaccines should be postponed for at least a year.

Front

What statement by the parent indicates the need for further teaching regarding bacterial endocarditis in a child with a history of heart issues and mitral valve replacement? Options: "Colds or changes in behavior/appetite can mean that she may need to be seen by her MD", "We will monitor her oral hygiene regularly to be sure it is affectively done.", "The surgery corrected her defect, so she is no longer at risk for infection", "We need to tell our child's dentist about her heart condition."

Back

The surgery corrected her defect, so she is no longer at risk for infection