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EXAM 2- RICCI MATERNITY AND
PEDIATRICS NURSING QUESTIONS AND
ANSWERS
A newborn with severe meconium aspiration syndrome (MAS. is not responding to conventional treatment. Which of the following would the nurse anticipate as possibly necessary for this newborn? - Correct Answers -Extracorporeal membrane oxygenation (ECMO) Which of the following would the nurse expect to assess in a newborn who develops sepsis? - Correct Answers -Hypothermia Which of the following would the nurse include in the plan of care for a newborn receiving phototherapy? - Correct Answers -Covering the newborn's eyes while under the bililights A newborn has been diagnosed with a Group B streptococcal infection shortly after birth. The nurse understands that the newborn most likely acquired this infection from which of the following? - Correct Answers -Mother's birth canal Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following? - Correct Answers -Grade IV After assessing a child's blood pressure, the nurse determines the pulse pressure and finds that it is narrowed. Which of the following would the nurse identify as associated with this finding? - Correct Answers -Aortic stenosis A 9-year-old child has undergone a cardiac catheterization and is being prepared for discharge. The nurse is instructing the parents and child about postprocedure care. Which statement by the parents indicates that the teaching was successful? - Correct Answers -"He should avoid taking a bath for about 3 days but he can shower." A newborn is diagnosed with patent ductus arteriosus. The nurse anticipates that the physician will most likely order which medication? - Correct Answers -Indomethacin Which action would be most appropriate for the nurse to take when a newborn has an unexpected anomaly at birth? - Correct Answers -Show the newborn to the parents as soon as possible while explaining the defect.
The nurse prepares to administer a gavage feeding for a newborn with transient tachypnea based on the understanding that this type of feeding is necessary for which reason? - Correct Answers -Oxygen demands need to be reduced. Which of the following would the nurse include when teaching a new mother about the difference between pathological and physiologic jaundice? - Correct Answers - Pathologic jaundice appears within 24 hours after birth When planning the care of a newborn addicted to cocaine who is experiencing withdrawal, which of the following would be least appropriate to include? - Correct Answers -Waking the newborn every hour A newborn is suspected of having fetal alcohol syndrome. Which of the following would the nurse expect to assess? - Correct Answers -Flattened maxilla After teaching the parents of a newborn with periventricular hemorrhage about the disorder and treatment, which statement by the parents indicates that the teaching was successful? - Correct Answers -"Our newborn could develop a learning disability later on." A newborn has an Apgar score of 6 at 5 minutes. Which of the following is the priority? - Correct Answers -Beginning resuscitative measures While reviewing a newborn's medical record, the nurse notes that the chest x-ray shows a ground glass pattern. The nurse interprets this as indicative of: - Correct Answers - Respiratory distress syndrome A newborn is suspected of developing persistent pulmonary hypertension. The nurse would expect to prepare the newborn for which of the following to confirm the suspicion? - Correct Answers -Echocardiogram Which of the following would alert the nurse to suspect that a newborn has developed NEC? - Correct Answers -Bilious vomiting Which of the following would not be considered a risk factor for bronchopulmonary dysplasia (chronic lung disease)? - Correct Answers -Female gender A group of nursing students are reviewing the different types of congenital heart disease in infants. The students demonstrate a need for additional review when they identify which of the following as an example of increased pulmonary blood flow (left-to-right shunting)? - Correct Answers -Tetralogy of Fallot After teaching the parents of a newborn with retinopathy of prematurity (ROP. about the disorder and treatment, which statement by the parents indicates that the teaching was
A nurse is teaching the mother of a newborn diagnosed with galactosemia about dietary restrictions. The nurse determines that the mother has understood the teaching when she identifies which of the following as needing to be restricted? - Correct Answers - Lactose A newborn was diagnosed with a congenital heart defect and will undergo surgery at a later time. The nurse is teaching the parents about signs and symptoms that need to be reported. The nurse determines that the parents have understood the instructions when they state that they will report which of the following? (Select all that apply.) - Correct Answers -- weight loss
- fever
- increased respiratory rate When developing the plan of care for a newborn with an acquired condition, which of the following would the nurse include to promote participation by the parents? - Correct Answers -Assist with decision making process A nurse is assisting in the resuscitation of a newborn. The nurse would expect to stop resuscitation efforts when the newborn has no heartbeat and respiratory effort after which time frame? - Correct Answers -10 minutes A newborn is diagnosed with meconium aspiration syndrome. When assessing this newborn, which of the following would the nurse expect to find? (Select all that apply.) - Correct Answers -- prolonged tachypnea
- intercostal retractions
- coarse crackles on auscultation The nurse working in the emergency room monitors the admission of children. Statistically, for which one of the following disorders would children younger than 5 years most commonly be admitted? - Correct Answers -Respiratory disorders The nurse is caring for a 7-year-old girl hospitalized in isolation. The nurse notices that she has begun sucking her thumb and changing her speech patterns to those of a toddler. What condition is the girl manifesting? - Correct Answers -Regression The nurse is caring for an 8-year-old boy hospitalized for a bone marrow transplant. His parents are in and out of his room throughout the day. Which of the following behaviors of the child would alert the nurse that he is in the second stage of separation anxiety? - Correct Answers -He sits quietly and is uninterested in playing and eating. The nurse is caring for a 4-year-old girl who has been hospitalized for over a week with severe burns. Which of the following would be a priority intervention to help satisfy this preschool child's basic needs? - Correct Answers -Explain necessary procedures in simple language that she will understand
The nurse is caring for a hospitalized 13-year-old girl, who is questioning everything the medical staff is doing and is resistant to treatment. How should the nurse respond? - Correct Answers -"Let's work together to plan your day along with your treatments." The nurse is caring for a 10-year-old boy who is in traction. The boy has a nursing diagnosis of deficient diversional activity related to confinement in bed that is evidenced by verbalization of boredom and lack of participation in play, reading, and schoolwork. Which of the following would be the best intervention? - Correct Answers -Enlist the aid of a child life specialist. The nurse is caring for a 13-year-old girl hospitalized for complications from type 1 diabetes. The girl has a nursing diagnosis of powerlessness related to lack of control of multiple demands associated with hospitalization, procedures, treatments, and changes in usual routine. How can the nurse help promote control? - Correct Answers -Offer the girl as many choices as possible. The nurse is caring for an 8-year-old girl who requires numerous venipunctures and injections daily. The nurse understands that the child is exhibiting signs of sensory overload and enlists the assistance of the child life specialist. What should the therapeutic play involve to best deal with the child's stressors? - Correct Answers - Sewing puppets with needles After teaching a group of students about therapeutic play, the instructor determines that additional teaching is needed when the students identify which of the following as a characteristic? - Correct Answers -Use of a highly structured format The mother of a hospitalized child reports that her daughter, who is having some difficulty eating, just had a 4-ounce cup of ice chips. The nurse documents this on the child's intake flow sheet as which of the following? - Correct Answers -2 ounces The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which of the following are examples of interventions that nurses perform in the "building a trusting relationship" stage? Select all answers that apply. - Correct Answers -- Preparing the child for a procedure by playing games
- Explaining in simple terms what will happen during surgery The nurse is preparing a hospitalized 7-year-old girl for a lumbar puncture. Which of the following actions would help reduce her stress related to the procedure? Select all answers that apply. - Correct Answers -- Pretend to perform the procedure on her doll.
- Teach her the steps of the procedure
- introduce her to the health care personnel The nurse is performing an admission of a 10-year-old boy. Which of the following actions will help the nurse establish a trusting and caring relationship with the child and his family? Select all answers that apply. - Correct Answers -- The nurse should initiate introductions.
mother indicates a need for further teaching? - Correct Answers -"I must really scrub her teeth and gums well." When preparing to apply a restraint to a child, which of the following would be most important for the nurse to do? - Correct Answers -Explain that safety, not punishment, is the reason for the restraint. The nurse is providing discharge planning for a 12-year-old boy with multiple medical conditions. Which of the following would be the best teaching method for this child and his family? - Correct Answers -Provide a trial period of home care. Community-based nursing provides opportunities that are quite different from acute care nursing. Which of the following job characteristics is unique to home care nursing? - Correct Answers -Experiencing a greater amount of independence The nurse is working as a community health care nurse. What would be the nurse's focus when providing care of the child? - Correct Answers -Providing care in geographically and culturally diverse settings The nurse working in community nursing uses epidemiology as a tool. What information can be obtained using this process? - Correct Answers -Health needs of a population When speaking to a group of parents at a local elementary school, the nurse describes school nursing as a specialized practice of nursing based on the fact that a healthy child has a better chance to succeed in school. Which of the following best describes the strategy school nurses use to achieve student success? - Correct Answers -They work to minimize health-related barriers to learning. The nurse referring a child to home care discusses the advantages and disadvantages with the child's family. Which of the following are disadvantages of this method of health care? Select all answers that apply. - Correct Answers -- The nurse is performing care of the child in the family's home.
- The out-of-pocket cost of home care is more expensive.
- The technical procedures may be overwhelming for the family.
- The financial burden may cause more stress for the family. The nurse working with children in a hospital setting notes that they are being discharged earlier and earlier. Which of the following is a primary reason for this trend?
- Correct Answers -Cost containment The nurse is teaching the student nurse the physiology involved in pain transmission. Which of the following statements accurately describes a physiologic event in the nervous system related to pain transmission? Select all answers that apply. - Correct Answers -- When nociceptors are activated by noxious stimuli, the stimuli are converted to electrical impulses that are relayed to the spinal cord and brain.
- Myelinated A-delta fibers are large fibers that conduct the impulse at very rapid rates; unmyelinated small C fibers transmit the impulse slowly.
- Once in the dorsal horn of the spinal cord, the nerve fibers divide and then cross to the opposite side and rise upward to the thalamus.
- Peripheral sensitization allows the nerve fibers to react to a stimulus that is of lower intensity than would be needed to cause pain. The nurse is managing children who have chronic diseases in a neighborhood clinic. Which of the following are examples of chronic conditions? Select all answers that apply. - Correct Answers -- Diabetes mellitus
- Rheumatoid arthritis
- Acute asthma The nurse is caring for a child who is recovering from an appendectomy. Which of the following is the appropriate term for the pain this child is experiencing? - Correct Answers -Nociceptive pain The nurse is conducting an assessment of a high school track athlete. He tells the nurse he is experiencing pain along his outer thigh. He describes it as tight, achy, and tender, particularly after he runs. The nurse understands that he is most likely experiencing what kind of pain? - Correct Answers -Deep somatic The nurse is caring for a child who is experiencing pain related to chemotherapy treatment. Which of the following is a behavioral factor that might affect the child's pain experience? - Correct Answers -Participation in normal routine activities The nurse caring for infants in the neonatal intensive care unit (NICU) relies on the use of behavioral and physiologic indicators for determining pain. Which of the following examples are behavioral indicators? Select all answers that apply. - Correct Answers -- The infant grimaces.
- The infant flails his arms and legs.
- The infant is crying uncontrollably. A nurse is providing teaching to the mother of an adolescent girl about how to manage menstrual pain nonpharmacologically. Which of the following statements by the mother indicates a need for further teaching? - Correct Answers -"I need to follow these instructions exactly for them to work properly." The nurse is counseling the parents of a 9-year-old boy who is receiving morphine for postoperative pain. Which of the following statements from the nurse accurately reflects the pain experience in children? - Correct Answers -"It is very rare that children become addicted to narcotics." The nurse is using the acronym QUESTT to assess the pain of a child. Which of the following is an accurate descriptor of this process? - Correct Answers -Take the cause of pain into account when intervening.
The nurse is administering pain medication for a child with continuous pain from internal injuries. Which of the following methods would be ordered to dispense the medication? - Correct Answers -Administer the medication around the clock at timed intervals. The nurse has applied EMLA cream as ordered. How does the nurse assess that the cream has achieved its purpose? - Correct Answers -Lightly tap the area where the cream is. The nurse is preparing to administer a topical anesthetic for a 10-year-old girl with a chin laceration. The nurse would expect to apply which of the following as ordered in preparation for sutures? - Correct Answers -TAC (tetracaine, epinephrine, cocaine) The nurse is caring for a child who is complaining of chronic pain. Which of the following is the priority nursing assessment? - Correct Answers -The pain's history, onset, intensity, duration, and location The nurse is monitoring a child who has received epidural analgesia with morphine. The nurse is careful to monitor for which of the following adverse effects of the medication? - Correct Answers -Respiratory depression The nurse is providing teaching to the parents of a newborn prior to a heelstick. The nurse is describing the procedure and recommending various methods for the parents to help comfort their baby. Which of the following statements by the parents indicates a need for further teaching? - Correct Answers -"It's better if we are not in the room for this." The nurse is conducting a pain assessment of a 10-year-old boy who has been taking acetaminophen for chronic knee pain. The assessment indicates that the recommended dose is no longer providing adequate relief. What is the appropriate nursing action? - Correct Answers -Obtain an order for a different medication. The nurse is preparing a child for a lumbar puncture. How far ahead of the procedure should the nurse apply the EMLA cream? - Correct Answers -3 hours The nurse is explaining the effects of heat application for pain relief. Which of the following would the nurse be likely to include as an effect? - Correct Answers -Increased pressure on nociceptive fibers Pentazocine is prescribed for a child with moderate pain. The nurse identifies this drug as an example of which type? - Correct Answers -Mixed opioid agonist-antagonist When providing care to a newborn infant who was born at 29 weeks' gestation, the nurse integrates knowledge of potential complications, being alert for signs and symptoms of which of the following? - Correct Answers -Intracranial hemorrhage
The nurse knows that children have larger heads in relation to the body and a higher center of gravity. When developing a teaching plan for parents, the nurse includes information about an increased risk for which of the following problems? - Correct Answers -Head trauma The nurse is caring for a child hospitalized with Reye syndrome who is in the acute stage of the illness. The nurse would assess the child most carefully for which of the following? - Correct Answers -Indications of increased intracranial pressure The physician has ordered rectal diazepam (Valium) for a 2-year-old boy with status epilepticus. Which of the following instructions is essential for the nurse to teach the parents? - Correct Answers -Monitor their child's level of sedation. As a result of seizure activity, a computed tomography (CT) scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation. When developing the child's plan of care, the nurse would expect to implement actions to prevent which of the following? - Correct Answers -Hemorrhagic stroke A 16-year-old boy complains to the school nurse of headaches and a stiff neck. Which of the following signs and symptoms would alert the nurse that the child may have bacterial meningitis? - Correct Answers -Sunlight is "too bright" A 4-year-old boy has a febrile seizure during a well-child visit. Which of the following would be a priority? - Correct Answers -Protecting the child from harm during the seizure The nurse has developed a teaching plan for the family of a 2-year-old boy who holds his breath when he gets frustrated. Which of the following will be most important to include in this plan? - Correct Answers -Stay close to prevent injury when he gets frustrated. The nurse is caring for an 8-year-old boy who has chronic epilepsy. Which of the following would be most important to address when teaching the child and parents about living with this condition? - Correct Answers -Support for maintaining self-esteem because of his altered lifestyle A 4-year-old boy has a history of seizures and has been started on a ketogenic diet. Which of the following food selections would be most appropriate for his lunch? - Correct Answers -Fried eggs, bacon, and iced tea A child with increased intracranial pressure is being treated with hyperventilation. The nurse understands the need for this treatment is based on which of the following? - Correct Answers -PaCO2 levels decrease, causing vasoconstriction.
A child is brought to the emergency department after sustaining a concussion. The child is to be discharged home with his parents. Which of the following would the nurse include in the child's discharge instructions? - Correct Answers -"Wake him every 2 hours to check his movement and responses." A nurse is preparing a presentation for a local health fair about meningitis and has developed a display that lists the following causes: Streptococcus group B Haemophilus influenzae type B Streptococcus pneumoniae Neisseria meningitidis Which of these would the nurse highlight as the most common cause of meningitis in newborns? - Correct Answers -Streptococcus group B A group of students are reviewing information about head injuries in children. The students demonstrate understanding of this information when they identify which of the following as the most common type of skull fracture in children? - Correct Answers - Linear During class, a student states, "I didn't think children could have strokes. I thought this only occurred in older adults." When responding to the student, which of the following would be most important for the instructor to integrate into the response? - Correct Answers -Ischemic strokes are more common than hemorrhagic strokes. A 10-month-old is brought to the emergency department by her parents after they found her face down in the bathtub. The mother said, "I just left the bathroom to answer the phone. When I came back, I found her." Which of the following assessments would be the priority? - Correct Answers -Airway, breathing, and circulation The nurse is developing a plan of care for a 5-year-old child with a severe hearing impairment focusing on psychosocial interventions based on assessment findings. Which behavior would the nurse have most likely assessed? - Correct Answers - Immature emotional behavior The nurse is caring for a 3-month-old with nasolacrimal duct obstruction. Which intervention would be most appropriate for the nurse to implement? - Correct Answers - Teaching the parents how to gently massage the duct The nurse is caring for a 10-year-old with allergic conjunctivitis. The nurse would be alert to the child's increased risk for which of the following? - Correct Answers -Atopic dermatitis The nurse is caring for a 6-year-old visually impaired boy and is about to begin the physical examination. Which intervention would be most appropriate to promote effective communication with the child? - Correct Answers -Use his name before touching him.
The nurse is instructing the parents of a school-age child with an eye disorder how to care for her eye. Which of the following conditions would the nurse explain as resolving by itself without the use of antibiotics? - Correct Answers -Chalazion The nurse is caring for a 4-year-old boy with infectious conjunctivitis. Which intervention would be least appropriate to include in the child's plan of care? - Correct Answers - Promoting eye safety The nurse is examining a 7-year-old boy with blepharitis. Which of the following would the nurse least likely expect to assess? - Correct Answers -Pain The nurse is caring for a newborn and knows that his vision, unlike his hearing, is not fully developed. Which aspect of the child's vision would the nurse expect to be similar to his father's vision? - Correct Answers -Visual acuity of 20/ The nurse is taking a health history for a 9-year-old girl. Which finding would alert the nurse to a possible risk factor specifically associated with visual impairment? - Correct Answers -Being of African American heritage The nurse is examining a 3-year-old boy with acute otitis media who has a mild earache and a temperature of 38.5o C. Which of the following actions will be taken? - Correct Answers -Instruct the parents to watch for worsening symptoms. A nurse is examining a 7-year-old boy with hordeolum. Which of the following would the nurse expect to find? - Correct Answers -Pain After teaching a group of parents about ear infections in children, which statement indicates that the teaching was successful? - Correct Answers -The shorter and wider eustachian tubes of an infant increase the risk. A nurse develops a plan of care for a child that includes patching the eye. This plan of care would be most appropriate for which condition? - Correct Answers -Amblyopia After teaching a group of new parents about their newborns' eyes and vision, which statement by the group indicates effective teaching? - Correct Answers -"We won't know the baby's eye color until he's at least 6 months old." Assessment of a child leads the nurse to suspect viral conjunctivitis based on which of the following? - Correct Answers -Photophobia The mother of a school-age child brings the child to the clinic for evaluation because he is having difficulty reading. His last visual screening was normal. He also complains of headaches and dizziness. Which of the following would the nurse suspect? - Correct Answers -Astigmatism
additional study when they identify which of the following? - Correct Answers -The ability to discriminate colors is completed by birth. A child is diagnosed with bacterial conjunctivitis and is prescribed topical antibiotic therapy. The child's mother asks when he can return to school. Which response by the nurse would be most appropriate? - Correct Answers -"Once the drainage is gone, he can go back to school." The parents of a 5-year-old bring their son to the emergency department because of significant eyelid edema. The mother states, "He scratched himself near his eye a couple of days ago while playing outside in the yard." The nurse suspects periorbital cellulitis based on which of the following? - Correct Answers -Purplish discoloration of eyelid After teaching a group of students about visual disorders, the instructor determines that the teaching was successful when the students identify which of the following as the most common cause of visual difficulties in children? - Correct Answers -Refractive errors An infant is diagnosed with infantile glaucoma. When developing the plan of care for the infant, the nurse would expect to prepare the infant and family for which of the following? - Correct Answers -Goniotomy The nurse is assessing a 7-year-old boy with pharyngitis. The nurse would least likely expect to assess which of the following? - Correct Answers -Working hard to breathe The nurse hears wheezing when auscultating a 4-year-old. Which of the following conditions would the nurse most likely rule out based on the assessment findings? - Correct Answers -Influenza The nurse is examining an 8-year-old boy with tachycardia and tachypnea. The nurse anticipates which of the following as most helpful in determining the extent of the child's hypoxia? - Correct Answers -Pulse oximetry A rapid strep test has confirmed that a 5-year-old girl has a group A Streptococcus infection. When teaching the parents about measures to implement, which of the following would be the least immediate concern? - Correct Answers -Discarding the child's toothbrush A nurse is administering 100% oxygen to a child with a pneumothorax based on the understanding that this treatment is used primarily for which reason? - Correct Answers -Hasten air reabsorption Bacterial pneumonia is suspected in a 4-year-old boy with fever, headache, and chest pain. Which assessment finding would most likely indicate the need for this child to be hospitalized? - Correct Answers -Tachypnea with retractions
The nurse is assessing a 5-year-old girl who is anxious, has a high fever, speaks in a whisper, and sits up with her neck thrust forward. Based on these findings, which of the following would be least appropriate for the nurse to perform? - Correct Answers - Visualizing the throat The nurse is educating the parents of a 7-year-old boy with asthma about the medications that have been prescribed. Which of the following drugs would the nurse identify as an adjunct to a b2-adrenergic agonist for treatment of bronchospasm? - Correct Answers -Ipratropium The nurse is caring for a 3-year-old girl with a respiratory disorder. The nurse anticipates the need for providing supplemental oxygen to the child when performing which of the following? - Correct Answers -Suctioning a tracheostomy tube The nurse is examining a 5-year-old boy. Which of the following signs or symptoms is a reliable first indication of respiratory illness in children? - Correct Answers -Rapid, shallow breathing A child requires supplemental oxygen therapy at 8 liters per minute. Which delivery device would the nurse most likely expect to be used? - Correct Answers -Simple mask A group of nursing students are reviewing information about the variations in respiratory anatomy and physiology in children in comparison to adults. The students demonstrate understanding of the information when they identify which of the following? - Correct Answers -Children develop hypoxemia more rapidly than adults do. The nurse is providing care to several children who have been brought to the clinic by the parents for complaints of cold-like symptoms. The nurse would most likely suspect sinusitis in which child? - Correct Answers -A 7-year-old with halitosis and thick, yellow nasal discharge A parent asks the nurse about immunizing her 7-month-old daughter against the flu. Which response by the nurse would be most appropriate? - Correct Answers -"Since your daughter is older than 6 months, she should get the vaccine every year." A nurse is preparing a teaching program for a parenting group about preventing foreign body aspiration. Which of the following would the nurse include? - Correct Answers -If an object fits through a standard toilet paper roll, the child can aspirate it A child with a pneumothorax has a chest tube attached to a water seal system. When assessing the child, the nurse notices that the chest tube has become disconnected from the drainage system. Which of the following would the nurse do first? - Correct Answers -Clamp the chest tube
The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels? - Correct Answers - Significant cyanosis without presence of a murmur The nurse is assessing a child with suspected infective endocarditis. Which of the following assessment findings would the nurse interpret as a sign of extracardiac emboli? - Correct Answers -Roth spots When conducting a physical examination of a child with suspected Kawasaki disease, which of the following would the nurse expect to assess? - Correct Answers -Strawberry tongue After teaching a group of students about acute rheumatic fever, the instructor determines that the teaching was successful when the students identify which of the following as an assessment finding? - Correct Answers -Jerky movements of the face and upper extremities A nurse is reviewing the medical record of a child and finds that the child has a grade III murmur. After auscultating the child's heart sounds, the nurse would document this murmur as which of the following? - Correct Answers -Loud without a thrill The nurse is caring for a 2-month-old infant who has been diagnosed with acute heart failure. The nurse is providing teaching about nutrition. Which of the following statements by the mother indicates a need for further teaching? - Correct Answers -"I need to feed him every hour to make sure he eats enough." The nurse is caring for an infant girl with a suspected cardiovascular disorder. Which of the following statements by the mother would warrant further investigation? - Correct Answers -"The baby seems more comfortable over my shoulder." The nurse is preparing a teaching plan for the parents of a child who has been diagnosed with a congenital heart defect. Which of the following would the nurse be least likely to include? - Correct Answers -Maintenance of strict bed rest After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow? - Correct Answers -Atrial septal defect (ASD) A 7-year-old child with a family history of cardiovascular disease is being screened for hyperlipidemia. When reviewing the child's laboratory test results, which total cholesterol level would be of significant concern? - Correct Answers -210 mg/dL A child with a suspected cardiovascular disorder is to undergo diagnostic testing and is scheduled for an echocardiogram. When explaining this test to the child, which of the
following would the nurse most likely include? - Correct Answers -"A special wand that picks up sound is used to check your heart." The nurse is reviewing the medical record of a child with infective endocarditis. Which of the following would the nurse expect to find? Select all answers that apply - Correct Answers -- Microscopic hematuria with urinalysis
- Electrocardiogram with prolonged PR interval
- Petechiae on palpebral conjunctiva A child with heart failure is receiving supplemental oxygen. The nurse understands that in addition to improving oxygen saturation, this intervention also helps to do which of the following? - Correct Answers -Cause vasodilation The nurse is developing a plan of care for an infant with heart failure who is receiving digoxin. The nurse would hold the dose of digoxin and notify the physician if the infant's apical pulse rate was: - Correct Answers -80 beats per minute A nurse is working with an adolescent who is slightly overweight and was recently diagnosed with hypertension. They are discussing nutritional management. Which statement by the adolescent demonstrates understanding of the information? - Correct Answers -"I should eat plenty of fresh fruits and vegetables." A child is diagnosed with Kawasaki disease and is in the acute phase of the disorder. Which of the following would the nurse expect the physician to prescribe? Select all answers that apply. - Correct Answers -- Intravenous immunoglobulin
- Acetaminophen
- Aspirin An infant with congenital heart disease is to undergo surgery to correct the defect. The mother states, "I guess I'm going to have to stop breastfeeding her." Which response by the nurse would be most appropriate? - Correct Answers -"Breast milk may help to boost her immune system, so you can continue to use it." During a follow-up visit, the parents of a 5-month-old infant diagnosed with congenital heart disease tell the nurse, "We're just so tired and emotionally spent. All these tests and examinations are overwhelming. We just want to have a normal life. We're so focused on the baby that it seems like our 3-year-old is lost in the shuffle." Which nursing diagnosis would the nurse identify as most appropriate? - Correct Answers - Interrupted family processes related to demands of caring for the ill child
