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The infant with congestive heart failure has a need for: a. Decreased fat b. Increased fluids c.

Decreased protein d. Increased calories The Nurse finds that a 6-month old infant has an apical pulse of 166 beat/min during sleep. The nurse should do which of the following? a. b. c. d. Administer oxygen Record data on nurses notes Report data to the practitioner Place child in high fowler position

The nurse should recognize that congestive heart failure (CHF) is which of the following a. Disease related to cardiac defects b. Consequence of an underlying cardiac defect c. Inherited disorder associated with a variety of defects d. Result of diminished workload imposed on an abnormal myocardium The nurse is caring for a school age girl who has had a cardiac catheterization. The child tells the nurse that her bandage is too wet the nurse finds the bandage and bed soaked with blood. The most appropriate initial nursing action is which of the following? a. b. c. d. Notify physician. Place child in a trendelenburg position Apply new bandage with more pressure Apply direct pressure above catheterization

After returning from cardiac catheterization, the nurse monitors the childs vital signs the heart rate should be counted for how many seconds? a. b. c. d. 15 30 60 120

John is a 6-year-old child scheduled for a cardiac catheterization pre operative teaching should be which of the following? a. b. c. d. Directed at his parents because he is too young to understand Adapted to his level of development so that he can understand Done several days before the procedure so he will be prepared Detailed in regard to the actual procedures so he will know what to expect

Seventy-two hours after cardiac surgery a young child has a temp of 38.4c (101.1f) The nurse should do which of the following? a. b. c. d. Report findings to practitioner Apply a hypothermia blanket Keep child warm with blankets Record temp on an assessment flow sheet

The parents of a 3 years old child with congenital heart disease are afraid to let their child play with other children because of possible overexertion. The nurse reply should include with of the following?

a. b. c. d.

Parents can meet all the childs needs Child needs opportunities to play with peers Constant parental supervision is needed to avoid overexertion Child needs to understand the peers activities are too strenuous

Which of the following structural defects constitute tetralogy of fallot a. b. c. d. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy Aortic stenosis, Ventricular septal defect overriding aorta, right ventricular hypertrophy Aortic stenosis, ventricular septal defect overriding aorta, left ventricular hypertrophy Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy.

Which of the following defects results in obstruction to blood flow a. b. c. d. Aortic stenosis Tricuspid atreasia Atrial septal defect Transposition of the great arteries

Ventricular septal defect has the following blood flow pattern: a. b. c. d. Mixed blood flow Increased pulmonary blood flow Decreased pulmonary blood flow Obstruction to the blood flow from ventricular

A cardiac defect that allows blood to shunt from the (high pressure)left side of the heart to the (lower pressure) right side can result in: a. b. c. d. Cyanosis Congestive heart failure Decreased pulmonary blood flow Bounding pulse in upper extremities

The Nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nuse recognizes that a risk exists of cerebrovascular accidents (strokes) which of the following is an important objective to decrease this risk? a. b. c. d. Minimized seizures Prevent dehydration Promote cardiac output Reduce energy expenditure

Decreasing the demands on the heart is a priority in care for the infant with congestive heart failure. In evaluating the infants status which of the following is indicative of achieving this goal? a. b. c. d. Irritability when awake Capillary refill of .5 seconds Appropriated weight gain for age Positioned in high fowler position to maintain oxygen saturation at 90%

The therapeutic management of children with B-thalassemia major consists primarily of which of the following? a. b. c. d. Oxygen therapy Supplemental iron Adequate hydration Frequent blood transfusions

Which of the following statements best describes B-thalassemia major (cooley anemia)? a. it is an acquired hemolytic anemia b. Inadequate numbers of RBCs are present c. Increased incidence occurs in families of Mediterranean extraction d. It commonly occurs in individuals from west Africa e. A child with SCA develops severe chest and back pain, fever, a cough, and dyspnea. The first action by the nurse is to: a. b. c. d. Administer 100% oxygen to relieve hypoxia Notify practitioner, since chest syndrome is suspected Infuse intravenous antibiotics as soon as cultures are obtained Give ordered pain medication to relieve symptoms of pain episode.

A school age child is admitted in vasoocclusive sickle crisis (pain episode) the child care should include which of the following? a. b. c. d. Hydration pain management Oxygenation factor VIII replacement Electrolyte replacement administration of heparin Correction of alkalosis and reduction of energy expenditure

The clinical manifestations of SCA are primarily the result of which of the following? a. b. c. d. Decreased blood viscosity Deficiency in coagulation Increased RBC destruction Greater affinity for oxygen

Which of the following is a condition in which the normal adult hemoglobin is partly or completely replaced by abnormal hemoglobin? a. b. c. d. Aplastic anemia Sickle cell anemia Thalassemia major Iron deficiency anemia

Which of the following should the nurse when teaching the mother of a 9-month-old infant about administering liquid iron preparations? a. b. c. d. Give with meals Stop immediately if nausea and vomiting occur Adequate dosage will turn the stools a tarry green color Allow preparation to mix with saliva and bathe the teeth before swallowing

An 8 years old girl is receiving a blood transfusion when the nurse notes that she has developed precordial pain, dyspnea, distended neck veins, slight cyanosis and dry cough these manifestation are most suggestive of which of the following complication a. Embolism b. Allergic reaction c. Hemolytic reaction d. Circulatory overload A child with severe anemia requires a unit of RBCs. The nurse explains to the child that the transfusion is necessary to: a. b. c. d. Allow her parents to come visit her Fight the infection that she now has Increase her energy so she will not be as tired Help her body stop bleeding by forming a (clot)

Iron overload is a side effect of chronic transfusion therapy treatment to minimized this complication includes a. b. c. d. Magnetic therapy Infusion of deferoxamine Hemoglobin electrophoresis Washing RBCs to reduce iron

Which of the following is descriptive of most cases of hemophilia a. b. c. d. X-linked recessive deficiency of platelets causing prolonged bleeding X-linked recessive inherited disorder in which a blood clotting factor is deficiency Autosomal dominant deficiency that is a factor involved in the blood clotting reaction Y-linked recessive inherited disorder in which the RBCs become moon shaped

The nuse is teaching the family of a child age 8 years with moderate hemophilia about home care the initial therapy for a joint injury is a. b. c. d. NSAIDs DDAVP (synthetic vasopressin) IV infusion of factor Villi concentrates Elevation and application of ice to involved joint

Which of the following is an acquired hemorrhagic disorder that is characterized by excessive destruction of platelets? a. b. c. d. Aplastic anemia Thalassemia major Idiopathic thrombocytopenic purpura Disseminated intravascular coagulation

Nursing care for the child with acute ITP includes a. b. c. d. Splenectomy Intravenous administration of anti D antibody Use of NSAIDs for pain management Helping child participate in sports

The primary nursing intervention to prevent bacterial endocarditis is which of the following a. b. c. d. Counsel parents of high risk children Institute measures to prevent dental procedures Encourage restricted mobility in susceptible children Observe children for complication such as embolism and heart failure

Which of the following is a major clinical manifestation of rheumatic fever? a. b. c. d. Fever Polyarthritis Osler nodes Janeway spots

Which of the following actions by the school nurse is important in the presumption c. Refer children with sore throats for throat cultures When caring for the child with Kawasaki disease the nurse should know which of the following a. b. c. d. Aspirin is contraindicated Principal area of involvement is the joints Childs fever is usually responsive to antibiotics within 48 hours Therapeutic management includes administration of y-globulin and

Which of the following types of the drugs reduces hypertension by interfering with the production of angiotensin 11

a. b. c. d.

Diuretics Vasodilators Beta Blockers ACE inhibitors

Which of the following is the leading cause of death after heart transplantation a. b. c. d. Infection Rejection Cardiomyopathy Congestive heart failure

Which of the following is an accurate description of the physiologic defect caused by anemia e. Decreased Oxygen carrying capacity of blood ASD Atrial Septal Defect VSD- Ventricular Septal Defect PDA Patent Ductus Arteriosus CHF Congestive Heart Failure CHD Congenital Heart Disease COA Coarction of Aorta AS Aortic Stenosis PS Pulmonic Stenosis AV Atrio Ventricular TF Tetralogy of Fallot TA Tricuspid Atresia TA Truncus Arteriosus TGA Transposition of the great arteries TGV Transposition of the great vessels TAPVC Total Anomalous pulmonary venous connection HLHS Hypoplastic Left heart Syndrome RF Rheumatic Fever KD Kawasaki Disease PAH Pulmonary Artery Hypertension SCA Sickle cell Anemia ITP Idiopathic Thrombocytopenic purpura vWD von Willebrand disease GER Gastroesophageal Reflux IBD Inflammatory Bowel Disease CD Crohn Disease PUD Peptic Ulcer Disease HPS Hypertrophic Pyloric Stenosis