NURS 345 Exam 3 Questions and All
Complete Solutions.
Ventricular Septal Defect - Answer an opening in the septum separating the ventricles
L to R shunt
heart murmur
First diagnostic test after heart murmur auscultated - Answer echocardiogram
Patent Ductus Arteriosus - Answer abnormal opening between the pulmonary artery and the
aorta
*normal in utero
L to R shunt
Clinical manifestations of increased pulmonary blood flow (L to R shunt) - Answer -tachypnea
-trouble eating
-trouble gaining wt
-congestive heart failure
-diaphoresis w/ feeding
-liver enlargement
*no cyanosis usually
Coarctation of aorta - Answer narrowing of the descending portion of the aorta, resulting in
a limited flow of blood to the lower part of the body
Tetralogy of Fallot - Answer a congenital malformation of the heart involving four distinct
defects
exhibit bluish skin during episodes of crying or feeding
, Paroxysmal Hypercyanotic episodes - Answer also called tet spells, when spontaneous
episodes of cyanosis, resp. distress, weakness, and syncope occur
last up to a few hours
followed by lethargy/sleep
occurs during 1st 2 years of life
"Tet spell" management - Answer knee-chest position to increase blood flow back to the
heart
CHF nursing care - Answer *formula/breastmilk may be fortified to increase caloric intake
-Organize care so that infant is not unnecessarily disturbed
-Feed early if crying and late if asleep
-Feedings are small and frequent
-Oxygen is administered to relieve dyspnea
-Medications are given as prescribed, after dosages are checked for safety
-Accurate recording of intake and output
Rheumatic Fever carditis - Answer -inflammation of entire heart
-often leaves scarring on mitral valve once recovered
collagen disease
Kawasaki disease manifestations - Answer -whole body inflammation
-inflammation of coronary arteries can lead to aneurysm
-fever, arthritis, thrombocytosis, cervical lymphadenopathy, skin/lips/conjunctiva affected
Iron deficiency anemia - Answer -most common nutritional deficiency of children
-avoid cows milk in infants </=1yo..can cause GI bleed
-rule out any cause of bleeding before diagnosis
Complete Solutions.
Ventricular Septal Defect - Answer an opening in the septum separating the ventricles
L to R shunt
heart murmur
First diagnostic test after heart murmur auscultated - Answer echocardiogram
Patent Ductus Arteriosus - Answer abnormal opening between the pulmonary artery and the
aorta
*normal in utero
L to R shunt
Clinical manifestations of increased pulmonary blood flow (L to R shunt) - Answer -tachypnea
-trouble eating
-trouble gaining wt
-congestive heart failure
-diaphoresis w/ feeding
-liver enlargement
*no cyanosis usually
Coarctation of aorta - Answer narrowing of the descending portion of the aorta, resulting in
a limited flow of blood to the lower part of the body
Tetralogy of Fallot - Answer a congenital malformation of the heart involving four distinct
defects
exhibit bluish skin during episodes of crying or feeding
, Paroxysmal Hypercyanotic episodes - Answer also called tet spells, when spontaneous
episodes of cyanosis, resp. distress, weakness, and syncope occur
last up to a few hours
followed by lethargy/sleep
occurs during 1st 2 years of life
"Tet spell" management - Answer knee-chest position to increase blood flow back to the
heart
CHF nursing care - Answer *formula/breastmilk may be fortified to increase caloric intake
-Organize care so that infant is not unnecessarily disturbed
-Feed early if crying and late if asleep
-Feedings are small and frequent
-Oxygen is administered to relieve dyspnea
-Medications are given as prescribed, after dosages are checked for safety
-Accurate recording of intake and output
Rheumatic Fever carditis - Answer -inflammation of entire heart
-often leaves scarring on mitral valve once recovered
collagen disease
Kawasaki disease manifestations - Answer -whole body inflammation
-inflammation of coronary arteries can lead to aneurysm
-fever, arthritis, thrombocytosis, cervical lymphadenopathy, skin/lips/conjunctiva affected
Iron deficiency anemia - Answer -most common nutritional deficiency of children
-avoid cows milk in infants </=1yo..can cause GI bleed
-rule out any cause of bleeding before diagnosis
