NURS 243 Final Review

A patient is being treated at the ED. Which of the following assessment findings should the nurse be concerned about for suspected child abuse?

• Patient is not interacting with healthcare staff

• Rounded marks covering patient's back

• Bruises in various stages of healing

• Long streaks across patient's chest

A nurse is educating a new nurse on the signs of sexual abuse in children. Which of the following should the nurse include in the teaching? (Select all that apply)

• Failure to Thrive

• Frequent UTIs or STDs

• Regressive behaviors

• Loss of appetite

A nurse is teaching an 8 year old patient on the use of the Holter monitor for the next 24 hours. Which of the following methods is most beneficial for teaching the patient?

• Provide pamphlets to the patient about the monitor

• Answer patient's question using medical terminology

• Answer the patient's questions simply and in concrete terminology

• Provide the child with a storybook about a child using the device

Which of the following are cardiac tests used to diagnose children? (Select all that apply)

• Chest x-ray

• Holter Monitor

• Echocardiogram

• Cardiac Catheterization

A patient is returning to the unit after a cardiac catheterization. Which of the following concepts is the nurse's priority?

• Infection

• Bleeding

• Comfort

• Eating

The nurse is assessing a toddler after a venous cardiac catheterization. He notices bleeding at the insertion site. Which of the following actions should the nurse take?

• Place hand at insertion site and wait for bleeding to stop

• Place hand above and at insertion site and call cardiologist

• Place hand below and at insertion site and call cardiologist

• Place sandbag at insertion site and wait 10 minutes, then reassess

Which of the following is the biggest concern with cardiac catheterization in infants and toddlers?

• Small vasculature provides higher risk for hemorrhage

• Unable to communicate pain and general needs

• Unable to take certain medications to prevent complications

• Diapers can obstruct area

A patient and her family are being educated on the use of a holter monitor for the next 24 hours. Which of the following materials should be included in the education?

• Showering is okay as long as it is under 5 minutes

• The parents should be educated on sponge baths for the next 24 hours.

• A diary should be kept with all cardiac symptoms including time of day.

• A button should be pushed during any cardiac episodes.

• If the button is not pushed during an episode, there is no way for the provider to tell there are irregularities in rhythm.

A 10 year old is about to have an EKG performed to look for irregularities in heart rhythm. The patient asks if the test will be painful. Which statement from the nurse is best?

• "No. This will not be painful."

• "That's a silly question. Of course there is no pain."

• "It doesn't matter. The test needs to be performed either way."

• "Let's practice on your teddy bear, so you can see how the procedure works."

A nurse is auscultating a one month old's heart. Which of the following should the nurse report to the provider immediately?

• Grade 6 murmur at Erb's point

• Still's Murmur

• Pulmonary Flow Murmur

• Systemic flow murmur