Ventricular Septal Defect
A nurse reviewing an infant’s progress notes identifies a one-
month- old infant is at 10% for weight and 95% for height on a
growth chart and has peripheral cyanosis. The parent reports
that the infant has frequent episodes of very fast breathing
and is breastfeeding every 4 hours but takes over 30 minutes
on each side to finish feeding.
What data leads the nurse to suspect that this infant has a
ventricular septal defect? Select all that apply.
Tachypnea
Increased length of time to finish breastfeeding
Plots at the 10th percentile for weight on growth chart
Children with a ventricular septal defect usually present with
symptoms of heart failure, poor growth and development,
and failure to thrive. They also have difficulty feeding due to
their decreased cardiac output and tachypnea.
Nursing Care
Which of the following nursing actions are appropriate when
caring for a child with Tetralogy of Fallot? Select all that
apply.
Maintain vasopressors to increase systemic vascular resistance Maintain sedative or
morphine sulfate to decrease agitation Improve oxygenation through clustering of care
Tetralogy of Fallot results in low oxygenation of blood, so
oxygenation should be improved.
Vasopressors are provided to increase systemic vascular
resistance because a decrease in systemic vascular
resistance is observed in clients with Tetralogy of Fallot.
Sedative or morphine sulfate is given to decrease agitation
associated with cyanotic spells.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:01:06 GMT -06:00
https://www.coursehero.com/file/252981743/NR-328-Week-3-Edapt-Ventricular-Septal-Defectdocx/
, MODULE 3
Pediatric Hematologic Alterations
Just like the heart, blood is part of the circulatory system. In
addition, due to the vast number of components in the blood,
hematologic alterations can be numerous in a pediatric
patient. One of the most common red blood cell disorders in
children is anemia.
Anemia occurs when the hemoglobin content of the blood is
insufficient or inadequate to satisfy the body's needs for
oxygen.
There are many types of anemia, including iron deficiency
anemia, sickle cell anemia, and aplastic anemia. Although
all these anemias may involve a dysfunction of hemoglobin,
clinical manifestations may vary.
By completing these learning activities, you will gain the
knowledge and skills needed to:
• Describe hemodynamics, risk factors, clinical
manifestations, and diagnostic evaluation of children
with hematologic alterations
• Discuss pharmacologic and non-pharmacologic strategies
when caring for children with hematologic alterations
• Determine nursing care for children with
hematologic alterations
Mechanisms of Anemia
A nurse is teaching a nursing student about the four main
mechanisms of anemia. The nurse should include which
mechanisms of anemia? Select all that apply.
Sequestration Decreased
production Blood loss
Accelerated hemolysis
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:01:06 GMT -06:00
https://www.coursehero.com/file/252981743/NR-328-Week-3-Edapt-Ventricular-Septal-Defectdocx/
A nurse reviewing an infant’s progress notes identifies a one-
month- old infant is at 10% for weight and 95% for height on a
growth chart and has peripheral cyanosis. The parent reports
that the infant has frequent episodes of very fast breathing
and is breastfeeding every 4 hours but takes over 30 minutes
on each side to finish feeding.
What data leads the nurse to suspect that this infant has a
ventricular septal defect? Select all that apply.
Tachypnea
Increased length of time to finish breastfeeding
Plots at the 10th percentile for weight on growth chart
Children with a ventricular septal defect usually present with
symptoms of heart failure, poor growth and development,
and failure to thrive. They also have difficulty feeding due to
their decreased cardiac output and tachypnea.
Nursing Care
Which of the following nursing actions are appropriate when
caring for a child with Tetralogy of Fallot? Select all that
apply.
Maintain vasopressors to increase systemic vascular resistance Maintain sedative or
morphine sulfate to decrease agitation Improve oxygenation through clustering of care
Tetralogy of Fallot results in low oxygenation of blood, so
oxygenation should be improved.
Vasopressors are provided to increase systemic vascular
resistance because a decrease in systemic vascular
resistance is observed in clients with Tetralogy of Fallot.
Sedative or morphine sulfate is given to decrease agitation
associated with cyanotic spells.
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:01:06 GMT -06:00
https://www.coursehero.com/file/252981743/NR-328-Week-3-Edapt-Ventricular-Septal-Defectdocx/
, MODULE 3
Pediatric Hematologic Alterations
Just like the heart, blood is part of the circulatory system. In
addition, due to the vast number of components in the blood,
hematologic alterations can be numerous in a pediatric
patient. One of the most common red blood cell disorders in
children is anemia.
Anemia occurs when the hemoglobin content of the blood is
insufficient or inadequate to satisfy the body's needs for
oxygen.
There are many types of anemia, including iron deficiency
anemia, sickle cell anemia, and aplastic anemia. Although
all these anemias may involve a dysfunction of hemoglobin,
clinical manifestations may vary.
By completing these learning activities, you will gain the
knowledge and skills needed to:
• Describe hemodynamics, risk factors, clinical
manifestations, and diagnostic evaluation of children
with hematologic alterations
• Discuss pharmacologic and non-pharmacologic strategies
when caring for children with hematologic alterations
• Determine nursing care for children with
hematologic alterations
Mechanisms of Anemia
A nurse is teaching a nursing student about the four main
mechanisms of anemia. The nurse should include which
mechanisms of anemia? Select all that apply.
Sequestration Decreased
production Blood loss
Accelerated hemolysis
This study source was downloaded by 100000897367967 from CourseHero.com on 12-10-2025 07:01:06 GMT -06:00
https://www.coursehero.com/file/252981743/NR-328-Week-3-Edapt-Ventricular-Septal-Defectdocx/
