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Which sign would alert the nurse that congestive heart failure could be developing?
• Tachypnea Correct
• Bradycardia
• Inability to sweat
• Increased urine output
As part of the treatment for congestive heart failure, a child is taking the diuretic
furosemide (Lasix). As part of the discharge teaching plan, what should the nurse
explain as the function of furosemide (Lasix)?
• It is a diuretic, which means that it eliminates extra fluid from the body.
Correct
• It is a beta blocker, which decreases the child’s blood pressure.
• It is a form of digitalis that regulates the heart rate and rhythm.
• It is an ACE inhibitor, which regulates the amount of fluid that goes through
the kidney.
The nurse is preparing to administer digoxin (Lanoxin) orally to a 9-month-old
infant. The nurse checks the dose and prepares to draw up 4 mL of the drug.
What are the most appropriate nursing actions?
• Mix the dose with several milliliters of juice to disguise the drug’s taste.
• Check the dosage with another nurse after checking the orders then
hold the dose. Correct
• Check the heart rate, then administer the dose by placing it at the back and
side of the
mouth.
NURS 3210 PEDS Exam 4 Questions And Answers Rated
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,NURS 3210 PEDS Exam 4 Questions And Answers Rated
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• Check the heart rate, then administer the dose by letting the infant suck
it through a nipple.
What is included in nursing care of the infant or child with congestive heart
failure?
• Forcing fluids appropriate for the patient's age
• Monitoring respirations during active periods
• Giving larger feedings less often to conserve energy
• Organizing activities to allow for uninterrupted sleep Correct
What is the primary therapy for secondary hypertension in children?
• Eating a diet that contains low amounts of salt
• Reducing body weight to a normal weight
• Determining, then treating the underlying cause Correct
• Increasing exercise and therefore fitness
A 3-week-old neonate has been admitted to the hospital because inability to feed
well and not growing as expected. What actions should the nurse implement when
caring for this infant with suspected heart failure? (Select all that apply.)
• Allow extra time to feed the infant. Correct
• Hold the infant securely in a supine position during feeding.
• Allow 45 minutes for each feeding to provide the ordered amount of
formula.
• Watch for diaphoresis or tachypnea while feeding the infant. Correct
• Encourage the mother to breastfeed, but allow 30 minutes for the total
NURS 3210 PEDS Exam 4 Questions And Answers Rated
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,NURS 3210 PEDS Exam 4 Questions And Answers Rated
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feeding. Correct
• Watch for signs of hunger and irritability soon after the feeding is finished.
Correct
The nurse would check the lab reports of which two electrolytes prior to
administering digoxin
NURS 3210 PEDS Exam 4 Questions And Answers Rated
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, NURS 3210 PEDS Exam 4 Questions And Answers Rated
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(Lanoxin) because of the risk for digoxin toxicity?
and
CorrectCorrect
Correct Responses
• potassium
• magnesium
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.
Which procedure uses high-frequency sound waves created by a transducer to
produce an image of cardiac structures?
• Echocardiography Correct
• Electrocardiography
• Cardiac catheterization
• Electrophysiology (EPS)
A nurse caring for a child post cardiac catheterization assesses that the distal pulse
of the catheter site is weaker and capillary refill less than three seconds. What is
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