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End of Ch 42 NCLEX Cardio

5.0 (1 review)

Terms in this set (17)

The nurse should instruct a Echocardiography

child to remain completely still
during which procedure in
which high frequency sound
waves are translated into
images by a transducer?
- Echocardiography
- Electrocardiography
- Cardiac catheterization
- Electrophysiology

After a patient returns from record the data on the nurse's notes.
cardiac catheterization, the
nurse assesses that the pulse
distal to the catheter insertion
site is weaker. The nurse
should:
- elevate the affected
extremity.
- record the data on the nurse's
notes.
- notify the physician of the
observation.
- apply warm compresses to
End of Ch
the insertion site.42 NCLEX Cardio
Congenital heart defects have problematic because children with acyanotic heart
traditionally been divided into defects may develop cyanosis
acyanotic or cyanotic defects.
The nurse should recognize
that in clinical practice this
system is:
- helpful because it explains
the hemodynamics involved.
- helpful because children with
cyanotic defects are easily
identified.
- problematic because
cyanosis is rarely present in
children.
- problematic because children
with acyanotic heart defects
may develop cyanosis.

The doctor suggests that increased pulmonary vascular congestion.

surgery be performed for
patent ductus arteriosus (PDA)
to prevent:
- pulmonary infection.
- right-to-left shunt of blood.
- decreased workload on left
side of heart.
- increased pulmonary vascular
congestion.

End of Ch 42 NCLEX Cardio

A young child with tetralogy of squatting.
Fallot may assume a posturing
position as a compensatory
mechanism. The position
automatically assumed by the
child is:
- low Fowler's.
- prone.
- supine.
- squatting.

Which is considered a mixed Transposition of the great arteries

cardiac defect?
- Pulmonic stenosis
- Atrial septal defect
- Patent ductus arteriosus
- Transposition of the great
arteries

An early sign of congestive tachypnea.

heart failure that the nurse
should recognize is:
- tachypnea.
- bradycardia.
- inability to sweat.
- increased urine output.

End of Ch 42 NCLEX Cardio

The nurse should explain to the diuretic.
parents that their child is
receiving Lasix for severe
congestive heart failure
because it is a/an:
- diuretic.
- â-blocker.
- form of digitalis.
- ACE inhibitor.

The nurse is preparing to give not give the dose; suspect dosage error.
digoxin to a 9-month-old
infant. He or she checks the
dose and draws up 4 ml of the
drug. The MOST appropriate
nursing action is to:
- not give the dose; suspect
dosage error.
- mix the dose with juice to
disguise its taste.
- check heart rate; administer
the dose by placing it to the
back and side of the mouth.
- check heart rate; administer
the dose by letting the infant
suck it through a nipple.

End of Ch 42 NCLEX Cardio

Nursing care of the infant or organizing activities to allow for uninterrupted
child with congestive heart sleep.
failure would include:
- forcing fluids appropriate to
age.
- monitoring respirations
during active periods.
- organizing activities to allow
for uninterrupted sleep.
- giving larger feedings less
often to conserve energy.

Nurses counseling parents desirability of promoting normalcy within the limits

regarding the home care of the of the child's condition.
child with a cardiac defect
before corrective surgery
should stress the:
- importance of reducing
caloric intake to decrease
cardiac demands.
- importance of relaxing
discipline and limit-setting to
prevent crying.
- need to be extremely
concerned about cyanotic
spells.
- desirability of promoting
normalcy within the limits of
the child's condition.

End of Ch 42 NCLEX Cardio

An important nursing count the apical rate for 1 full minute and compare it
responsibility when a with the radial rate
dysrhythmia is suspected is to:
- order an immediate
electrocardiogram.
- count the radial rate at 1-
minute intervals 5 times in a
row.
- count the apical rate for 1 full
minute and compare it with the
radial rate.
- have someone else take the
radial rate while the nurse
simultaneously checks the
apical rate.

The primary therapy for treatment of underlying cause

secondary hypertension in
children is:
- weight reduction.
- low-salt diet.
- increased exercise and
fitness.
- treatment of underlying
cause.

What should the nurse Apprehension

recognize as an early clinical
sign of compensated shock in a
child?
- Confusion
- Sleepiness
- Hypotension
- Apprehension

End of Ch 42 NCLEX Cardio

The school nurse is called to have someone call for an ambulance/paramedic
the cafeteria because a child rescue squad.
"has eaten something he is
allergic to." The child is in
severe respiratory distress.
FIRST the nurse should:
- determine what the child has
eaten.
- administer diphenhydramine
(Benadryl).
- move the child to the nurse's
office or hallway.
- have someone call for an
ambulance/paramedic rescue
squad.

A diagnosis of rheumatic fever Antistreptolysin-O titer (ASO) titer

is being ruled out for a child.
Which lab test(s) is/are the
most reliable? (Select all that
apply.)
- Throat culture
- C-reactive protein (CRP)
- Antistreptolysin-O titer (ASO)
titer
- Elevated white blood cell
count (WBC)
- Erythrocyte sedimentation
rate (ESR)

End of Ch 42 NCLEX Cardio

When assessing for - Irritability
hypertension in an infant, the - Head rubbing
nurse will expect the infant to - Waking up screaming in the night
exhibit which signs? (Select all
that apply.)
- Dizziness
- Changes in vision
- Irritability
- Head rubbing
- Waking up screaming in the
night