NU 170 E1 Cardiac Q

A newborn is diagnosed with a CHD. The test results reveal that the lumen of the duct between the aorta and pulmonary artery remains open. This defect is known as

• Tetralogy of Fallot

• PDA

• VSD

• Pulmonary Stenosis

5. What should the nurse assess before administering digoxin (Lanoxin)?

1. Sclera.

2. Apical pulse rate.

3. Cough.

4. Liver function test.

• 1. Sclera.

• 2. Apical pulse rate.

• 3. Cough.

• 4. Liver function test.

. Which finding might delay a cardiac catheterization procedure on a 1-year-old?

• 1. 30th percentile for weight.

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• 2. Severe diaper rash.

• 3. Allergy to soy.

• 4. Oxygen saturation of 91% on room air

9. Which interventions decrease cardiac demands in an infant with CHF? Select all that apply.

• Allow parents to hold and rock their child.

• Feed only when the infant is crying.

• Make frequent position changes.

• Feed the child when sucking the fists.

• Change bed linens only when necessary.

While assessing a newborn with respiratory distress, the nurse auscultates a machinelike heart murmur. Other findings are a wide pulse pressure, periods of apnea, increased PaCO2, and decreased PO2. The nurse suspects that the newborn has:

• 1. Pulmonary hypertension.

• 2. PDA.

• 3. VSD.

• 4. Bronchopulmonary dysplasia.

14. Which are the most serious complications for a child with KD? Select all that apply.

• 1. Coronary thrombosis.

• 2. Coronary stenosis.

• 3. Coronary artery aneurysm.

• 4. Hypocoagulability.

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• 5. Decreased sedimentation rate

During a well-child checkup for an infant with TOF, the child develops severe respiratory distress and becomes cyanotic. The nurse’s first action should be to:

• 1. Lay the child flat to promote hemostasis.

• 2. Lay the child flat with legs elevated to increase blood flow to the heart.

• 3. Sit the child on the parent’s lap, with legs dangling, to promote venous pooling.

• 4. Hold the child in knee-chest position to decrease venous blood return.

Hypoxic spells in the infant with a CHD can cause which of the following? Select all that apply.

• 1. Polycythemia.

• 2. Blood clots.

• Developmental delays.

• Viral pericarditis.

• Alkalosis.

What associated manifestation might the nurse occasionally find in a child diagnosed with Wilms tumor?

• 1. Atrial fibrillation.

• 2. Hypertension.

• 3. Endocarditis.

• 4. Hyperlipidemia.

27. While looking through the chart of an infant with a CHD of decreased pulmonary blood flow, the nurse would expect which laboratory finding?

• 1. Decreased platelet count.

• 2. Polycythemia.

• 3. Decreased ferritin level.

• 4. Shift to the left.