The nurse is teaching parents about signs of digoxin (Lanoxin) toxicity. Which is a common sign of digoxin toxicity?
What is vomiting
100
A chest radiograph film is ordered for a child with suspected cardiac problems. The child’s parent asks the nurse, “What will the radiograph show about the heart?” The nurse’s response should be based on knowledge that the x-ray film will show:
What is permanent record of heart size and configuration.
100
Which is a common, serious complication of rheumatic fever?
What is Cardiac valve damage
100
Surgical closure of the ductus arteriosus would prevent the return of oxygenated blood to
What is to the lungs
100
________ is best described as the inability of the heart to pump an adequate amount of blood to the systemic circulation at normal filling pressures?
What is Heart Failure
200
The parents of a young child with heart failure tell the nurse that they are “nervous” about giving digoxin (Lanoxin). The nurse’s response should be based on which statement?
What is Parents must learn specific, important guidelines for administration of digoxin.
200
José is a 4-year-old child scheduled for a cardiac catheterization. Preoperative teaching should be:
What is adapted to his level of development so that he can understand.
200
The nurse is conducting a staff in-service on childhood-acquired heart diseases. Which is a major clinical manifestation of rheumatic fever?
What is Polyarthritis
200
Atrial septal defect results in _______ pulmonary blood flow
What is increased
200
The nurse is talking to a parent of an infant with heart failure about feeding the infant. What coaching should they give them about feeding?
What is "You may need to increase the caloric density of your infant’s formula.”
300
The nurse is preparing to administer a dose of digoxin (Lanoxin) to a child in heart failure (HF). Which is a beneficial effect of administering digoxin (Lanoxin)?
What is It decreases edema.
300
Which explanation regarding cardiac catheterization is appropriate for a preschool child?
What is When the procedure is done, you will have to keep your leg straight for at least 4 hours.
300
The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to implement?
What is Administering penicillin
300
An 8-month-old infant has a hypercyanotic spell while blood is being drawn. The nurse’s first action should be to:
What is place the child in the knee-chest position.
300
Which is the leading cause of death after heart transplantation?
What is Rejection
400
An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.
What is 70
400
As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended because they are high in:
What is potassium
400
Which action by the school nurse is important in the prevention of rheumatic fever?
What is Refer children with sore throats for throat cultures.
400
The nurse is caring for an infant with congestive heart disease (CHD). The nurse should plan which intervention to decrease cardiac demands?
What is Organize nursing activities to allow for uninterrupted sleep.
400
A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. The position automatically assumed by the child is
What is the squatting position.
500
A 6-month-old infant is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than _____ beats/min.
What is 90 to 110
500
Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse’s reply should be based on ?
What is Child needs opportunities to play with peers.
500
When caring for the child with Kawasaki disease, the nurse should know which information about medication regimen?
What is Therapeutic management includes administration of gamma globulin and aspirin.
500
The nurse is conducting a staff in-service on congenital heart defects. Which structural defect constitutes tetralogy of Fallot?
What is Pulmonic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy