NR 328 Pediatric Cardiac (Exam 2 material)
Test bank Solution guide.
What s/s occur with defects were blood shunts?
- - Cyanotic
- Shunts can go either way
What is smart to remember regarding Blood Shunting defects?
- - They are the most severe defect and the most complicated to repair / fix
What general knowledge should we know about Transposition of the Greater
Vessels?
- - The structures (Aorta/ Pulmonary artery occur on the opposite side of where
they should normally occur
With the Transposition of the greater vessels, where does the Aorta emerge from? -
- Emerges from the right ventricle
With the Transposition of the greater vessels, Where does the Pulmonary Artery
emerge from?
- - Emerges from the left ventricle
With the Transposition of the greater vessels, where are the holes located at?
- - Ventricular septum
- Arterial septum
What s/s related to tissue perfusion occurs with Transposition of the greater
vessels?
- - Low o2 saturation
- Pallor / Cyanosis
What occurs to the heart with Transposition of the greater vessels?
- Cardiomegaly
,What does Cardiomegaly mean?
- - Enlargement of the heart
Besides the heart, what other organs can be impacted by Transposition of the
greater vessels?
- - Liver
- Spleen
What causes the liver/ spleen to be impacted with Transposition of the greater
vessels?
- - Due to the backflow of blood to the heart
What are some Heart s/s of Congested Heart Failure (CHF)?
- - Tachycardia (CHF)
What are some eating s/s of Congested Heart Failure (CHF)?
- - Difficulty eating (CHF)
What might diagnosis be made that can be an s/s of Congested Heart Failure
(CHF)?
- - Failure to Thrive (FTT) (CHF)
What are some skin/water toxicity s/s of Congested Heart Failure (CHF)?
- - Edema (CHF)
With all Mixed blood (Shunting) defects, what is the most common s/s?
- - Congested Heart Failure (most common)
What must a patient with Transposition of the greater vessels have in order to BE
COMPATIBLE WITH LIFE?
- - VSD or
- PFO/ ASD
What does VSD stand for?
- - ventricular septal defect (VSD)
, What does PFO stand for?
- -Patent Foramen Ovale
What does ASD stand for?
- - Atrial Septal Defect
What medication is the primary treatment with Transposition of the greater
vessels?
- - Prostaglandin-E (Transposition of the greater vessels)
What is the role of Prostaglandin-E?
- - Keeps the PDA open
What does PDA stand for?
- - Patent Ductus Arteriosus
Why is it important to utilize Prostaglandin-E with the Transposition of the greater
vessels to keep the PDA open?
- - In order to allow for shunting to occur so that there is another way to move
blood to the body so that the patient can LIVE
What medication closes the Patent Ductus Arteriosus (PDA)?
- - Indomethacin
What weight does a patient need to be prior to having surgery to correct
Transposition of the greater vessels?
- - At least 5 lbs
What nursing interventions should be performed with Transposition of the greater
vessels in order to assess the overall status of the patient?
- - Vital signs (Transposition of the greater vessels)
How should BP be assessed postoperatively with Transposition of the greater
vessels? - - via intra-arterial monitoring
Test bank Solution guide.
What s/s occur with defects were blood shunts?
- - Cyanotic
- Shunts can go either way
What is smart to remember regarding Blood Shunting defects?
- - They are the most severe defect and the most complicated to repair / fix
What general knowledge should we know about Transposition of the Greater
Vessels?
- - The structures (Aorta/ Pulmonary artery occur on the opposite side of where
they should normally occur
With the Transposition of the greater vessels, where does the Aorta emerge from? -
- Emerges from the right ventricle
With the Transposition of the greater vessels, Where does the Pulmonary Artery
emerge from?
- - Emerges from the left ventricle
With the Transposition of the greater vessels, where are the holes located at?
- - Ventricular septum
- Arterial septum
What s/s related to tissue perfusion occurs with Transposition of the greater
vessels?
- - Low o2 saturation
- Pallor / Cyanosis
What occurs to the heart with Transposition of the greater vessels?
- Cardiomegaly
,What does Cardiomegaly mean?
- - Enlargement of the heart
Besides the heart, what other organs can be impacted by Transposition of the
greater vessels?
- - Liver
- Spleen
What causes the liver/ spleen to be impacted with Transposition of the greater
vessels?
- - Due to the backflow of blood to the heart
What are some Heart s/s of Congested Heart Failure (CHF)?
- - Tachycardia (CHF)
What are some eating s/s of Congested Heart Failure (CHF)?
- - Difficulty eating (CHF)
What might diagnosis be made that can be an s/s of Congested Heart Failure
(CHF)?
- - Failure to Thrive (FTT) (CHF)
What are some skin/water toxicity s/s of Congested Heart Failure (CHF)?
- - Edema (CHF)
With all Mixed blood (Shunting) defects, what is the most common s/s?
- - Congested Heart Failure (most common)
What must a patient with Transposition of the greater vessels have in order to BE
COMPATIBLE WITH LIFE?
- - VSD or
- PFO/ ASD
What does VSD stand for?
- - ventricular septal defect (VSD)
, What does PFO stand for?
- -Patent Foramen Ovale
What does ASD stand for?
- - Atrial Septal Defect
What medication is the primary treatment with Transposition of the greater
vessels?
- - Prostaglandin-E (Transposition of the greater vessels)
What is the role of Prostaglandin-E?
- - Keeps the PDA open
What does PDA stand for?
- - Patent Ductus Arteriosus
Why is it important to utilize Prostaglandin-E with the Transposition of the greater
vessels to keep the PDA open?
- - In order to allow for shunting to occur so that there is another way to move
blood to the body so that the patient can LIVE
What medication closes the Patent Ductus Arteriosus (PDA)?
- - Indomethacin
What weight does a patient need to be prior to having surgery to correct
Transposition of the greater vessels?
- - At least 5 lbs
What nursing interventions should be performed with Transposition of the greater
vessels in order to assess the overall status of the patient?
- - Vital signs (Transposition of the greater vessels)
How should BP be assessed postoperatively with Transposition of the greater
vessels? - - via intra-arterial monitoring
