NUR 405 Chapter 46
- Which postoperative intervention should be questioned for a child after a cardiac
catheterization?
- Continue intravenous (IV) fluids until the infant is tolerating oral fluids.
- Check the dressing for bleeding.
- Assess peripheral circulation on the affected extremity.
- Keep the affected leg flexed and elevated.
Answer
- keep the affected leg flexed and elevated
The child should be positioned with the affected leg straight for 4 to 6 hours after the procedure.
- Which information should be included in the nurse's discharge instructions for a child who
underwent a cardiac catheterization earlier in the day?
- Pressure dressing is changed daily for the first week.
- The child may soak in the tub beginning tomorrow.
- Contact sports can be resumed in 2 days.
- The child can return to school on the third day after the procedure.
Answer
- the child can return to school on the third day after the procedure
- The nurse is admitting a child to the hospital for a cardiac workup. What is the first step in a
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cardiac assessment?
- Percussion
- Palpation
- Auscultation
- History and inspection
Answer
- history and inspection
- In which situation is there a risk that a newborn infant will have a congenital heart defect
(CHD)?
- Trisomy 21 detected on amniocentesis
- Family history of myocardial infarction
- Father has type 1 diabetes mellitus
- Older sibling born withTurner syndrome
Answer
- trisomy 21 detected on amniocentesis
The incidence of congenital heart disease is approximately 50% in children with trisomy 21 (Down syndrome).
- Before giving a dose of digoxin (Lanoxin), the nurse checked an infant's apical heart rate and
it was 114 bpm. What should the nurse do next?
- Administer the dose as ordered.
- Hold the medication until the next dose.
- Wait and recheck the apical heart rate in 30 minutes. 2 / 3
- Notify the physician about the infant's heart rate.
Answer
- administer the dose as ordered
- 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?
- Weigh the infant every day on the same scale at the same time.
- Notify the physician when weight gain exceeds more than 20 g/day.
- Put the infant in a car seat to minimize movement.
- Administer digoxin (Lanoxin) as ordered by the physician.
Answer
- weigh the infant every day on the same scale at the same time
- The nurse assessing a premature newborn infant auscultates a continuous machinery-like
murmur. This finding is associated with which congenital heart defect?
- Pulmonary stenosis
- Patent ductus arteriosus
- Ventricular septal defect
- Coarctation of the aorta
Answer
- patent ductus arteriosus
- What is an expected assessment finding in a child with coarctation of the aorta?
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