WorksheetsPedi VNE unit 3 quiz
Total questions: 23
Worksheet time: 17mins
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.
A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician if what condition occurs? Select all that apply.
Respiratory rate of 36 at res
Appetite slowly increasing
Temperature above 38° C (100.4° F)
difficulty breathing with new coughing
Turning blue or bluer than normal
Check which two go together
TET spell
knee chest position
excess fluid volume
Poor feeding
which symptoms indicate a call to the physician for a client with CHF?
tachypnea
sweating
poor feeding
HR 100
2 ounce increase in weight
In Cardiac pedi client which would be done first?
physical assessment
labs
health history
assessment of parents coping and ability to learn
hypoxia is
oxygen saturation of less than 90%
when s/sx of cyanosis are present
the same as hypoxemia
common reason for CHF
hypoxemia is
the same as hypoxia
low level of oxygen in the blood
caused by hypoxia
low level of blood causing hypoxia
nursing care of a child with CHF includes...
organizing care for quality sleep time
calming a crying client with CHF
assessing parents anxiety and readiness to learn
giving digoxin and diuretic
Instructing on TET spells
Adequate perfusion after cardiac surgery includes
lower extremities warm, cap refill less than 3 seconds
capillary refill greater than 3
skin warm and dry and pink
peripheral pulses palpable
neuro assess on child with injury to arm includes
color
temp
sensation
cap refill greater than 3
ROM
A teen newly dx with diabetes type I should be taught
rotate injection sites
check blood glucose more frequently when sick
when exercising take more insulin
check blood sugar before exercising and after
which drugs require vital signs before giving?
Digoxin
Lasix
Synthroid
Lantus
A child with Celiac's Disease should eat
Rice
Wheat
Barley
Corn
Parents of a Child with GERD
should be taught CPR
should be taught to give med 30 min prior to eating
should be taught to give med 30 min after eating
should be taught to prevent vomiting
