Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NURS 401 > Ricci 41 > Flashcards

Ricci 41 Flashcards

Week 5

1
Q
  1. Which postoperative intervention should be questioned for a child after a cardiac catheterization?
    A. Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
    B. Check the dressing for bleeding.
    C. Assess peripheral circulation on the affected extremity.
    D. Keep the affected leg flexed and elevated.
A

D. Keep the affected leg flexed and elevated.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  1. Which information should be included in the nurses discharge instructions for a child who underwent a cardiac catheterization earlier in the day?
    A. Pressure dressing is changed daily for the first week.
    B. The child may soak in the tub beginning tomorrow.
    C. Contact sports can be resumed in 2 days.
    D. The child can return to school on the third day after the procedure.
A

D. The child can return to school on the third day after the procedure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q
  1. The nurse is admitting a child to the hospital for a cardiac workup. What is the first step in a cardiac assessment?
    A. Percussion
    B. Palpation
    C. Auscultation
    D. History and inspection
A

D. History and inspection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
  1. In which situation is there a risk that a newborn infant will have a congenital heart defect (CHD)?
    A. Trisomy 21 detected on amniocentesis
    B. Family history of myocardial infarction
    C. Father has type 1 diabetes mellitus
    D. Older sibling born with Turner syndrome
A

A. Trisomy 21 detected on amniocentesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  1. Before giving a dose of digoxin (Lanoxin), the nurse checked an infants apical heart rate and it was 114 bpm. What should the nurse do next?
    A. Administer the dose as ordered.
    B. Hold the medication until the next dose.
    C. Wait and recheck the apical heart rate in 30 minutes.
    D. Notify the physician about the infants heart rate.
A

A. Administer the dose as ordered.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  1. What intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?
    A. Weight the infant every day on the same scale at the same time.
    B. Notify the physician when weight gain exceeds more than 20 g/day.
    C. Put the infant in a car seat to minimize movement.
    D. Administer digoxin (Lanoxin) as ordered by the physician.
A

A. Weigh the infant every day on the same scale at the same time.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  1. The nurse assessing a premature newborn infant auscultates a continuous machinery-like murmur. This finding is associated with which congenital heart defect?
    A. Pulmonary stenosis
    B. Patent ductus arteriosus
    C. Ventricular septal defect
    D. Coarctation of the aorta
A

B. Patent ductus arteriosus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  1. What is an expected assessment finding in a child with coarctation of the aorta?
    A. Orthostatic hypotension
    B. Systolic hypertension in the lower extremities
    C. Blood pressure higher on the left side of the body
    D. Disparity in blood pressure between the upper and lower extremities
A

D. Disparity in blood pressure between the upper and lower extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  1. A child with pulmonary atresia exhibits cyanosis with feeding. On reviewing this childs laboratory values, the nurse is not surprised to notice which abnormality?
    A. Polycythemia
    B. Infection
    C. Dehydration
    D. Anemia
A

A. Polycythemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Which statement made by a parent indicates understanding of restrictions for a child after cardiac surgery?
    A. My child needs to get extra rest for a few weeks.
    B. My son is really looking forward to riding his bike next week.
    C. I’m so glad we can attend religious services as a family this coming Sunday.
    D. I am going to keep my child out of daycare for 6 weeks.
A

D. I am going to keep my child out of daycare for 6 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. A child had an aortic stenosis defect surgically repaired 6 months ago. Which antibiotic prophylaxis is indicated for an upcoming tonsillectomy?
    A. No antibiotic prophylaxis is necessary.
    B. Amoxicillin is taken orally 1 hour before the procedure.
    C. Oral penicillin is given for 7 to 10 days before the procedure.
    D. Parenteral antibiotics are administered for 5 to 7 days after the procedure.
A

B. Amoxicillin is taken orally 1 hour before the procedure.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  1. The nurse discovers a heart murmur in an infant 1 hour after birth. She is aware that fetal shunts are closed in the neonate at what point?
    A. When the umbilical cord is cut
    B. Within several days of birth
    C. Within a month after birth
    D. By the end of the first year of life
A

B. Within several days of birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q
  1. When assessing a child for possible congenital heart defects (CHDs), where should the nurse measure blood pressure?
    A. The right arm
    B. The left arm
    C. All four extremities
    D. Both arms while the child is crying
A

C. All four extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q
  1. What is the nurses first action when planning to teach the parents of an infant with a CHD?
    A. Assess the parents anxiety level and readiness to learn.
    B. Gather literature for the parents.
    C. Secure a quiet place for teaching.
    D. Discuss the plan with the nursing team.
A

A. Assess the parents anxiety level and readiness to learn.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q
  1. Before preparing a teaching plan for the parents of an infant with ductus arteriosus, it is important that the nurse understands this condition. Which statement best describes patent ductus arteriosus?
    A. Patent ductus arteriosus involves a defect that results in a right-to-left shunting of blood in the heart.
    B. Patent ductus arteriosus involves a defect in which the fetal shunt between the aorta and the pulmonary artery fails to close.
    C. Patent ductus arteriosus is a stenotic lesion that must be surgically corrected at birth.
    D. Patent ductus arteriosus causes an abnormal opening between the four chambers of the heart.
A

B. Patent ductus arteriosus involves a defect in which the fetal shunt between the aorta and the pulmonary artery fails to close.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  1. For what reason might a newborn infant with a cardiac defect, such as coarctation of the aorta, that results in a right-to-left shunt receive prostaglandin E1?
    A. To decrease inflammation
    B. To control pain
    C. To decrease respirations
    D. To improve oxygenation
A

D. To improve oxygenation

17
Q
  1. Which CHD results in increased pulmonary blood flow?
    A. Ventricular septal defect
    B. Coarctation of the aorta
    C. Tetralogy of Fallot
    D. Pulmonary stenosis
A

A. Ventricular septal defect

18
Q
  1. Which statement suggests that a parent understands how to correctly administer digoxin?
    A. I measure the amount I am supposed to give with a teaspoon.
    B. I put the medicine in the babys bottle.
    C. When she spits up right after I give the medicine, I give her another dose.
    D. I give the medicine at 8 in the morning and evening every day.
A

D. I give the medicine at 8 in the morning and evening every day.

19
Q
  1. What is the appropriate priority nursing action for the infant with a CHD who has an increased respiratory rate, is sweating, and is not feeling well?
    A. Recheck the infants blood pressure.
    B. Alert the physician.
    C. Withhold oral feeding.
    D. Increase the oxygen rate.
A

B. Alert the physician.

20
Q
  1. Nursing care for the child in congestive heart failure includes
    A. Counting the number of saturated diapers
    B. Putting the infant in the Trendelenburg position
    C. Removing oxygen while the infant is crying
    D. Organizing care to provide rest periods
A

D. Organizing care to provide rest periods

21
Q
  1. Which strategy is appropriate when feeding the infant with congestive heart failure?
    A. Continue the feeding until a sufficient amount of formula is taken.
    B. Limit feeding time to no more than 30 minutes.
    C. Always bottle feed every 4 hours.
    D. Feed larger volumes of concentrated formula less frequently.
A

B. Limit feeding time to no more than 30 minutes.

22
Q
  1. A nurse is teaching an adolescent about primary hypertension. Which statement made by the adolescent indicates an understanding of primary hypertension?
    A. Primary hypertension should be treated with diuretics as soon as it is detected.
    B. Congenital heart defects are the most common cause of primary hypertension.
    C. Primary hypertension may be treated with weight reduction.
    D. Primary hypertension is not affected by exercise.
A

C. Primary hypertension may be treated with weight reduction.

23
Q
  1. An adolescent being seen by the nurse practitioner for a sports physical is identified as having hypertension. On further testing, it is discovered that the child has a cardiac abnormality. The initial treatment of secondary hypertension initially involves
    A. Weight control and diet
    B. Treating the underlying disease
    C. Administration of digoxin
    D. Administration of beta-adrenergic receptor blockers
A

B. Treating the underlying disease

24
Q
  1. What should the nurse include in discharge teaching as the highest priority for the child with a cardiac dysrhythmia?
    A. CPR instructions
    B. Repeating digoxin if the child vomits
    C. Resting if dizziness occurs
    D. Checking the childs pulse after digoxin administration
A

A. CPR instructions

25
Q
  1. 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?
    A. Place the infant in a knee-chest position.
    B. Administer oxygen.
    C. Administer morphine sulfate.
    D. Calm the infant.
A

D. Calm the infant.

26
Q
  1. The nurse caring for a child diagnosed with acute rheumatic fever should assess the child for
    A. Sore throat
    B. Elevated blood pressure
    C. Desquamation of the fingers and toes
    D. Tender, warm, inflamed joints
A

D. Tender, warm, inflamed joints

NURS 401 (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions