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The-nurse-is-monitoring-an-infant-with-congenital

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The-nurse-is-monitoring-an-infant-with-congenital

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The-nurse-is-monitoring-an-infant-with-congenital




The nurse is monitoring an infant with 1. pallor
congenital heart disease closely for signs of 2. hyperactivity
heart failure. The nurse should assess the 3. exercise intolerance
infant for which early sign of HF? 4. gastrointestinal disturbances
1. pallor
2. cough
3. tachycardia
4. slow and shallow breathing

The nurse reviews the laboratory results for
a child with a suspected diagnosis of
rheumatic fever, knowing that which
laboratory study would assist in confirming
the diagnosis?
1. immunoglobulin
2. red blood cell count
3. white blood cell count
4. anti-streptolysin O titer

On assessment of a child admitted with a
diagnosis of acute-stage Kawasaki disease,
the nurse expects to note which clinical
manifestation of the acute stage of the
disease?
1. cracked lips
2. normal appearance
3. conjunctival hyperemia
4. desquamation of the skin

The nurse provides home care instructions
to the parents of a child with heart failure
regarding the procedure for administration
of digoxin. Which statement made by the
parent indicates the need for further
instruction?
1. "i will not mix the medication with food"
2. "i will take my child's pulse before
administering the medication"
3. "if more than 1 dose is missed, i will
call the health care provider"
4. "if my child vomits after
medication administration, i will
repeat the dose"

The nurse is closely monitoring the intake
and output of an infant with heart failure
who is receiving diuretic therapy. The nurse
should use which most appropriate method
to assess the urine output?
1. weighing the diapers
2. inserting a urinary catheter
3. comparing intake with output
4. measuring the amount of water added to
formula

The clinic nurse reviews the record of a
child just seen by a HCP and diagnosed
with suspected aortic stenosis. The nurse
expects to note documentation of which
clinical manifestation specifically found in
this disorder?
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, The-nurse-is-monitoring-an-infant-with-congenital
The nurse has provided home care 3. swimming
instructions to the parents of a child who is 4. field hockey
being discharged after cardiac surgery.
Which statement made by the parents
indicates a need for further instruction?
1. "a balance of rest and exercise is
important"
2. "i can apply lotion or powder to the
incision if it is itchy"
3. "activities in which my child could fall
need to be avoided for 2 to 4 weeks"
4. "large crowds of people need to be
avoided for at least 2 weeks after
surgery"

A child with rheumatic fever will be
arriving to the nursing unit for admission.
On admission assessment, the nurse
should ask the parents which question to
elicit assessment information specific to
the development of rheumatic fever?
1. "has the child complained of back pain?"
2. "has the child complained of headaches?"
3. "has the child had any nausea or
vomiting?"
4. "did the child have a sore throat or
fever within the last 2 months?"

A HCP has prescribed oxygen as needed
for an infant with heart failure. In which
situation should the nurse administer the
oxygen to the infant?
1. during sleep
2. when changing the infants diapers
3. when the mother is holding the infant
4. when drawing blood for electrolyte level
testing

Assessment findings of an infant admitted
to the hospital reveal a machinery-like
murmur on auscultation of the heart and
signs of heart failure. The nurse reviews
congenital cardiac anomalies and identifies
the infant's condition as which disorder?
(refer to figure)
1. aortic stenosis
2. atrial septal defect
3. patent ductus arteriosus
4. ventricular septal defect

The nurse analyzes the laboratory results of
a child with hemophilia. The nurse
understands that which result will most
likely be abnormal in this child?
1. platelet count
2. hematocrit level
3. hemoglobin level
4. partial thromboplastin time

The nurse is providing home care
instructions to the parents of a 10-year-old
child with hemophilia. Which sport activity
should the nurse suggest for this child?
1. soccer
2. basketball
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, The-nurse-is-monitoring-an-infant-with-congenital




The nursing student is presenting a clinical microcytic and hypochromic
conference and discusses the cause of beta-
thalassemia. The nursing student informs the
group that a child at greatest risk of
developing this disorder is which of these?
1. a child of mexican descent
2. a child of mediterranean descent
3. a child whose intake of iron is extremely
poor
4. a breast-fed child of a mother with
chronic anemia

A child with beta-thalassemia is receiving
long-term blood transfusion therapy for the
treatment of the disorder. Chelation therapy
is prescribed as a result of too much iron
from the transfusions. Which medication
should the nurse anticipate to be prescribed?
1. Fragmin
2. Meropenem
3. Metoprolol
4. Deferoxamine

The clinic nurse instructs parents of a child
with sickle cell anemia about the
precipitating factors related to sickle cell
crisis. Which, if identified by the parents as
a precipitating factor, indicates the need for
further instruction?
1. stress
2. trauma
3. infection
4. fluid overload

A 10-year-old child with hemophilia A has
slipped on the ice and bumped his knee. The
nurse should prepare to administer which
prescription?
1. injection of factor X
2. intravenous infusion of iron
3. intravenous infusion of factor VIII
4. intramuscular injection of iron using the
Z-track method

The nurse is instructing the parents of a
child with iron deficiency anemia regarding
the administration of a liquid oral iron
supplement. Which instruction should the
nurse tell the parents?
1. administer the iron at mealtimes
2. administer the iron through a straw
3. mix the iron with cereal to administer
4. add the iron to formula for easy
administration

Laboratory studies are performed for a
child suspected to have iron deficiency
anemia. The nurse reviews the laboratory
results, knowing that which result indicates
this type of anemia?
1. elevated hemoglobin level
2. decreased reticulocyte count
3. elevated red blood cell count
4. red blood cells that are

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