Pedi VNE unit 3 quiz

Which signs indicate congenital cardiac problems?

Select all that apply.

• Greater than normal weight gain

• Clubbing of fingers

• Bradycardia

• Tachypnea

• Dyspnea

Which diagnostic test is a standardized diagnostic test for rheumatic fever?

• Sedimentation rate

• WBC count

• Antistreptolysin O titer

• rheumatic streptosis titer

Which observation indicates that an infant with congestive heart failure (CHF) is carefully following the prescribed medical regimen?

• The child takes antibiotics daily.

• The child exhibits normal weight for age.

• The child has an elevated RBC.

• The child’s pulse rate is less than 50 beats/min.

Which defects are associated with tetralogy of Fallot?

Select all that apply.

• Atrial septal defect

• Ventricular septal defect

• Overriding aorta

• Pulmonary artery stenosis

• Hypertrophy of the right ventricle

The nurse is caring for a child receiving digoxin (Lanoxin) for the diagnosis of heart failure. Which manifestation does the nurse recognize as a cardinal sign of digoxin toxicity?

• Respiratory distress

• Extreme bradycardia

• Constipation

• Headache

Which disorder causes deoxygenated blood to enter the systemic arterial circulation?

• Patent ductus arteriosus

• Tetralogy of Fallot

• Coarctation of the aorta

• Atrial stenosis

Which symptoms are indicative of rheumatic fever (RF)?Select all that apply.

• Abdominal pain

• Migratory polyarthritis

• Peeling skin

• Chorea

• Vomiting

What are the priority nursing actions when administering Diuril (chlorothiazide) to a child diagnosed with congestive heart failure (CHF)?

• Intake and output and periods of rest

• Measure pulse for 1 minute and review ECG

• Monitor serum electrolytes and daily weight

• Hold dose if patient vomits and until doctors write order to repeat dose

Nursing care for the child in congestive heart failure includes

• Counting the number of saturated diapers

• Putting the infant in the Trendelenburg position

• Removing oxygen while the infant is crying

• Organizing care to provide rest periods

A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot. What should the nurse do first when the baby is crying and becomes severely cyanotic?

• Place the infant in a knee-chest position

• Administer oxygen.

• Administer morphine sulfate.

• Calm the infant.