Pediatric Cardiovascular Disorders Question
Answers
The cnurse cis cproviding cinformation cto cthe cparents cof ca ctoddler cwho cis cscheduled cfor csurgery c
cpulmonic cvalve. cThe cparents chave cmany cquestions cabout cthe cfunction cof cthe cvalve. cWhich cin
ccorrect?
1. cThe cvalve cmust cwork ccorrectly cto cget coxygen cfrom cthe clungs cto cthe cbody.
2. cIf cthe cvalve cdoes cnot cwork ccorrectly, cblood cis ckept cfrom centering cthe cheart.
3. cWhen cthe cvalve cis cdefective, cthe cblood cleaving cthe cheart cis cdecreased.
4. cA cdefect cin cthe cvalve ccauses cless cblood cto cget cto cthe clungs cfor coxygenation. c- cCORRECT
4 cThis cis ccorrect. cWhen cthere cis ca cdefect cin cthe cright cpulmonic cvalve, cthe cblood chas cdifficulty
cand cgetting cto cthe clungs cfor creoxygenation. cThis cexplanation cby cthe cnurse ccorrectly cdescribe
cand cthe cpurpose cof cthe csurgery.
1 cThis cis cincorrect. cThe caortic cvalve cmust cwork ccorrectly cfor coxygenated cblood cto cbe ccarried
cto cthe crest cof cthe cbody. c
2 cThis cis cincorrect. cBlood cmust center cthe cright cside cof cthe cheart cfrom cthe cbody cin corder cto cb
cunoxygenated cblood centers cthe cright catrium cthrough cthe ctricuspid cvalve cinto cthe cright cventricl
3 cThis cis cincorrect. cA cdefect cin cthe caortic cvalve cwould ccause cproblems cwith coxygenated cbloo
The cnurse cis cteaching ca cpediatric celectrocardiogram c(EKG) cclass cto cnurses cin ca cpediatric ccar
cstructure cdoes cthe cnurse cuse cto cdescribe cthe cinitiation cof ccardiac celectrical cconduction?
1. cThe cPurkinje cfibers cin cthe cventricles
2. cThe cbundle cbranch cin cthe cleft catrium
3. cThe csinoatrial cnode cin cthe cright catrium
4. cThe cbundle cof cHis cin cthe cventricle cwalls c- cCORRECT cANS✔✔ANS c3
4 cThis cis cincorrect. cFrom cthe cSA, cthe celectrical cimpulse cis cconducted cto cthe cfibers ccalled cthe
cwalls cof cthe cventricles. cThe cprocess cof celectrical cconduction cdoes cnot cstart chere.
1 cThis cis cincorrect. cThe cPurkinje cfibers care clocated cin cthe cventricles; chowever, cthe cprocess co
cnot cstart chere. cThe cfibers cinitiate ccontractions cof cthe cventricles. c
2 cThis cis cincorrect. cThe cbundle cbranches care cdivided cinto ceither cleft cor cright cbundles; choweve
cconduction cdoes cnot cstart chere. c
3 cThis cis ccorrect. cWhen cteaching cthe celectrical cconduction cof cthe cheart, cthe cnurse cstarts cwith
cthe cright cventricle, cwhich cis cknown cas cthe cpacemaker cof cthe cheart.
The cnurse cis caware cthe cneonate's cblood ccirculation cis cdifferent cbefore cbirth cthan cafter cbirth. cW
cthe cnurse crecognize cas coccurring cprior cto cbirth?
,4. c"We cwere cin ca cEuropean ccountry cbefore cpregnancy cwas cconfirmed." c- cCORRECT cANS✔✔
2 cThis cis ccorrect. cThe cnurse cis cmost clikely cto ccontribute cexposure cto ca cchild cwith cmeasles cas
cneonate's cheart cdefect. cThe cnurse cwill cassess cfurther cfor ctimelines cand cmanifestations.
1 cThis cis cincorrect. cUsing ca cwell cas ca cwater csource cdoes cnot cnecessarily cplace ca cneonate ca
cdefect. c
3 cThis cis cincorrect. cThe cmother's cconcern cabout cthe cneonate cbeing cborn ca cweek cearly cis cnot
cfactor cto cthe cneonate's cheart cdefect. c
4 cThis cis cincorrect. cTraveling cto ca cforeign ccountry cduring cthe cfirst ctrimester cmay cor cmay cnot c
cnurse cneeds cadditional cinformation cbefore cmaking ca cconnection cbetween cthe ctravel cand chear
5. cThe cnurse cis cassisting cwith chigh cschool csports cphysicals. cThe cnurse cperforms ca cphysical ca
cwho cis ctall cand cthin, cwith cdisproportionately clong carms. cWhich cadditional cfinding cwill cprompt c
ccardiac cevaluation?
1. cNotable claxity cof cjoints
2. cSparsity cof cbody chair
3. cDeep ctone cto cthe cvoice
4. cSlow, crhythmic cgait c- cCORRECT cANS✔✔ANS c1
1 cThis cis ccorrect. cTall cand cthin cwith carms cdisproportionately clong cand cwith claxity cof cjoints care
cMarfan csyndrome. cThe cnurse cmay calso cnotice cdislocation cof clenses, cspinal cproblems, cstretch
cabnormalities, cand/or crestrictive clung cdisease. cMarfan csyndrome cis calso cassociated cwith caortic
cand/or cmitral cregurgitation.
2 cThis cis cincorrect. cA csparsity cof cbody chair cis cnot can cindication cof ccardiac cissues; cmale chigh
cexhibit cheavy cbody chair.
3 cThis cis cincorrect. cA cmale chigh cschool cstudent cis cexpected cto chave ca cdeep ctone cto chis cvoic
4 cThis cis cincorrect. cA cslow, crhythmic cgait cmay cbe cunique cto cthis cstudent; chowever, cit cdoes cn
cMarfan csyndrome.
The cnurse cis cproviding ccare cfor ca c12-year-old cpatient cwho cis chospitalized cwith cgeneralized cwe
cwhich cbegan cin cthe chips, cpelvic carea, cthighs, cand cshoulders. cThe cphysician csuspects cDuchen
cWhich caction cby cthe cphysician cdoes cthe cnurse cexpect?
1. cPrescribe cphysical ctherapy cto cimprove cmuscle cstrength.
2. cSuggest chomeschooling cuntil cthe cacute cstage cends.
3. cPerform can cechocardiogram cto cevaluate ccardiac cfunctioning.
4. cPerform cmuscle cbiopsies cto cidentify cthe cstage cof cthe cdisease. c- cCORRECT cANS✔✔ANS c3
3 cThis cis ccorrect. cThe cphysician cis clikely cto corder ccardiac ctesting, cespecially cto crule cout ccardi
cfrequently cassociated cwith cDuchenne cmuscular cdystrophy.
1 cThis cis cincorrect. cDuchenne cmuscular cdystrophy cis ca cprogressive cgenetic cdisease. cPhysical
cimprove cmuscle cstrength; cit cis cused cto cmaintain cbody cfunction cfor cas clong cas cpossible. c
2 cThis cis cincorrect. cDuchenne cmuscular cdystrophy cis ca cprogressive cgenetic cdisease. cThe cphy
chomeschooling cwhen cthe cpatient cis cno clonger cable cto cattend cclasses. cThere cis cno cacute csta
cimprove. c
4 cThis cis cincorrect. cThe cphysician cis cmore clikely cto cprescribe cneuromuscular ctests cto cdetermin
The cnurse cis cperforming ca cphysical cassessment con ca c7-year-old cchild cas ca crequirement cfor cp
cnurse creports cwhich cassessment cfinding cas cabnormal cand crequests ca cfollow-up cfrom ca cprima
1. cSystolic cblood cpressure cis c84 cmm cHg.
2. cSystolic cblood cpressure cis c90 cmm cHg cand cdiastolic cis c20 cmm cHg.
3. cPulse coximeter creading cis c95% con croom cair.
4. cPMI cis cat c4th cor c5th cintercostal cspace cat cthe cmidclavicular cline. c- cCORRECT cANS✔✔ANS
2 cThis cis ccorrect. cWide cpulse cpressures—diastolic cpressures care clow, cwith ca cwide cgap cbetwe
cpressures—are cindicative cof csuch cprocesses cas cpatent cductus carteriosus.
1 cThis cis cincorrect. cAverage csystolic cblood cpressures care cconsidered c70+ c(2´ cage cin cyears). c
3 cThis cis cincorrect. cPulse coximeter creadings cof c95% cof croom cair care cconsidered cnormal.
4 cThis cis cincorrect. cThe cpoint cof cmaximum cimpulse c(PMI) cis cheard cat cthe cfourth cor cfifth cinter
cmidclavicular cline c(MCL).
, 4. cAfter crepair, cthe cchild cis cno clonger cat crisk cfor ccardiac cproblems. c- cCORRECT cANS✔✔ANS
1 cThis cis ccorrect. cOptions care cto crepair cthe cpulmonary cartery cand/or cpulmonic cvalve cas csoon
cworsening cside ceffects cof cthe ccondition. c
2 cThis cis cincorrect. cSide ceffects cof cpulmonary cstenosis cinclude cincreased cworkload cof cthe crigh
chepatomegaly, cdevelopment cof cmurmurs, cshortness cof cbreath, cand ccyanosis. cDelaying ccorrec
ceffects cof cthe ccondition.
3 cThis cis cincorrect. cThe cinfant cwith cpulmonary cstenosis cwill cbe chospitalized cfor cassessment ca
4 cThis cis cincorrect. cThe cchild cmust creturn cto cthe ccardiologist cfrequently cfor cfollow-up, cand ccar
cinformation con cthe crecurrence cof csymptoms cthat cmay coccur cdue cto crestenosis.
The cparents care cpreparing cto ctake ctheir cnewborn, cwho cwas cdiagnosed cwith ctetralogy cof cFallo
chome. cThe cnurse cis cdeveloping ca cteaching csheet cregarding ccare cof cthe cnewborn cfor cthe cpar
cthe cnurse cneed cto cinclude cin cthe cteaching cplan?
1. cThere cis cno cneed cto climit cactivities.
2. cIt cis cimportant cto cmaintain ccaloric cintake.
3. cNo csecondary ccomplications care cexpected.
4. cThe cneonate chas cnatural cimmunity cto cinfections. c- cCORRECT cANS✔✔ANS c2
1 cThis cis cincorrect. cThe cparents cwill cbe ctaught cto ccalm cthe cinfant cby cholding cthe cinfant cover c
cthe cinfant's cknees cdrawn cup ctoward cthe cchest. cThis cwill cincrease cthe cblood cflow cto cthe clungs
ccardiac cstress cby ckeeping cthe cinfant ccalm.
2 cThis cis ccorrect. cDue cto ca cclinical cfinding cof cfailure cto cgain cweight, cthe cparents care cinstructe
cmaintaining ccaloric cintake. cFrequent csmall cfeedings care cnecessary cto cmeet cthis cneed cand cno
3 cThis cis cincorrect. cParents cneed cto cmonitor cfor csigns cand csymptoms cof cheart cfailure.
4 cThis cis cincorrect. cEducate cparents con cthe cincreased crisk cof cbacterial cendocarditis cand cthe cp
The cnurse cis creviewing cmedications cfor cthe ctreatment cof ca cheart crhythm cdisorder cin ca cpatient
cparent cof cthe cpatient cstates cthat cthe cphysician crecently cprescribed cmedication cto ctreat cthe cpa
hyperactivity cdisorder. cUsing cknowledge cof crecent cprofessional crecommendations, cwhich cstatem
1. c"We cneed cto cremind cthe cphysician cthere cis ca cheart ccondition."
2. c"Do cnot cstart cthe cmedication cuntil cI ccan ccheck cfor csafety cwarnings."
3. c"Children cwith cheart cdisorders chave ca chigher cincidence cof cADHD."
4. c"Giving cthe cmedication ccan ccause cdeath cif cthere cis ca ccardiac cissue." c- cCORRECT cANS✔✔
1 cThis cis cincorrect. cA cblack cbox cwarning cabout cgiving cmedications cfor cADHD cto cchildren cwith
cin c2006. cThe cAAP cand cthe cAHA cstate cthat cmedications cused cto ctreat cADHD chave cnot cbeen
ccause cheart cdisease cor cresult cin csudden ccardiac cdeath c(CDC, c2016; cMagellan cHealth, c2016a
ccontact cthe cprescribing cphysician. c
2 cThis cis cincorrect. cIf cthe cnurse cis cknowledgeable cabout ccurrent cmedication crecommendations
cparent cto chold cthe cmedication cuntil cthe csafety ccan cbe cchecked cby cthe cnurse. c
3 cThis cis ccorrect. cJoint cstatements cby cthe cAAP cand cthe cAHA cshow cthat cchildren cwith cheart cc
cincidence cof cADHD, cbut cthat cmedications cused cto ctreat cADHD chave cnot cbeen cshown cin cmos
cdisease cor cresult cin csudden ccardiac cdeath.
4 cThis cis cincorrect. cIt cis cinaccurate cand cinappropriate cfor cthe cnurse cto ctell cthe cparent cthat cthe
ccause cdeath cin cchildren cwith ccardiac cissues.
The cnurse cis cproviding ccare cfor ca cneonate cdiagnosed cwith ctetralogy cof cFallot. cProstaglandin cE
ckeep cthe cforamen covale cand cthe cductus carteriosus copen. cWhich cis cthe cmost cimportant cinterv
cinclude cin cthe cneonate's cplan cof ccare?
1. cMaintain ca cseparate cIV caccess cfor ccontinuous cadministration cof cthe cmedication.
2. cWatch cfor crespiratory cdistress cor capnea cafter cadding cmedication cto cthe cbreathing ctube.
3. cMonitor cfor cand cdocument cevidence cof cflushing, cbradycardia, cand cirritability cas cexpected.
4. cMonitor cweight cand cadjust cthe cdosage cusing ca cscale cof c0.05 cto c0.1 cmcg/kg/min cIV cinfusio
c1
1 cThis cis ccorrect. cDuring cthe cadministration cof cprostaglandin cE1, cthe cnurse cstarts cand cmainta
ccontinuous cadministration cof cthe cmedication.
2 cThis cis cincorrect. cDuring cthe cadministration cof cprostaglandin cE1, cthe cnurse cmonitors cfor cres
Answers
The cnurse cis cproviding cinformation cto cthe cparents cof ca ctoddler cwho cis cscheduled cfor csurgery c
cpulmonic cvalve. cThe cparents chave cmany cquestions cabout cthe cfunction cof cthe cvalve. cWhich cin
ccorrect?
1. cThe cvalve cmust cwork ccorrectly cto cget coxygen cfrom cthe clungs cto cthe cbody.
2. cIf cthe cvalve cdoes cnot cwork ccorrectly, cblood cis ckept cfrom centering cthe cheart.
3. cWhen cthe cvalve cis cdefective, cthe cblood cleaving cthe cheart cis cdecreased.
4. cA cdefect cin cthe cvalve ccauses cless cblood cto cget cto cthe clungs cfor coxygenation. c- cCORRECT
4 cThis cis ccorrect. cWhen cthere cis ca cdefect cin cthe cright cpulmonic cvalve, cthe cblood chas cdifficulty
cand cgetting cto cthe clungs cfor creoxygenation. cThis cexplanation cby cthe cnurse ccorrectly cdescribe
cand cthe cpurpose cof cthe csurgery.
1 cThis cis cincorrect. cThe caortic cvalve cmust cwork ccorrectly cfor coxygenated cblood cto cbe ccarried
cto cthe crest cof cthe cbody. c
2 cThis cis cincorrect. cBlood cmust center cthe cright cside cof cthe cheart cfrom cthe cbody cin corder cto cb
cunoxygenated cblood centers cthe cright catrium cthrough cthe ctricuspid cvalve cinto cthe cright cventricl
3 cThis cis cincorrect. cA cdefect cin cthe caortic cvalve cwould ccause cproblems cwith coxygenated cbloo
The cnurse cis cteaching ca cpediatric celectrocardiogram c(EKG) cclass cto cnurses cin ca cpediatric ccar
cstructure cdoes cthe cnurse cuse cto cdescribe cthe cinitiation cof ccardiac celectrical cconduction?
1. cThe cPurkinje cfibers cin cthe cventricles
2. cThe cbundle cbranch cin cthe cleft catrium
3. cThe csinoatrial cnode cin cthe cright catrium
4. cThe cbundle cof cHis cin cthe cventricle cwalls c- cCORRECT cANS✔✔ANS c3
4 cThis cis cincorrect. cFrom cthe cSA, cthe celectrical cimpulse cis cconducted cto cthe cfibers ccalled cthe
cwalls cof cthe cventricles. cThe cprocess cof celectrical cconduction cdoes cnot cstart chere.
1 cThis cis cincorrect. cThe cPurkinje cfibers care clocated cin cthe cventricles; chowever, cthe cprocess co
cnot cstart chere. cThe cfibers cinitiate ccontractions cof cthe cventricles. c
2 cThis cis cincorrect. cThe cbundle cbranches care cdivided cinto ceither cleft cor cright cbundles; choweve
cconduction cdoes cnot cstart chere. c
3 cThis cis ccorrect. cWhen cteaching cthe celectrical cconduction cof cthe cheart, cthe cnurse cstarts cwith
cthe cright cventricle, cwhich cis cknown cas cthe cpacemaker cof cthe cheart.
The cnurse cis caware cthe cneonate's cblood ccirculation cis cdifferent cbefore cbirth cthan cafter cbirth. cW
cthe cnurse crecognize cas coccurring cprior cto cbirth?
,4. c"We cwere cin ca cEuropean ccountry cbefore cpregnancy cwas cconfirmed." c- cCORRECT cANS✔✔
2 cThis cis ccorrect. cThe cnurse cis cmost clikely cto ccontribute cexposure cto ca cchild cwith cmeasles cas
cneonate's cheart cdefect. cThe cnurse cwill cassess cfurther cfor ctimelines cand cmanifestations.
1 cThis cis cincorrect. cUsing ca cwell cas ca cwater csource cdoes cnot cnecessarily cplace ca cneonate ca
cdefect. c
3 cThis cis cincorrect. cThe cmother's cconcern cabout cthe cneonate cbeing cborn ca cweek cearly cis cnot
cfactor cto cthe cneonate's cheart cdefect. c
4 cThis cis cincorrect. cTraveling cto ca cforeign ccountry cduring cthe cfirst ctrimester cmay cor cmay cnot c
cnurse cneeds cadditional cinformation cbefore cmaking ca cconnection cbetween cthe ctravel cand chear
5. cThe cnurse cis cassisting cwith chigh cschool csports cphysicals. cThe cnurse cperforms ca cphysical ca
cwho cis ctall cand cthin, cwith cdisproportionately clong carms. cWhich cadditional cfinding cwill cprompt c
ccardiac cevaluation?
1. cNotable claxity cof cjoints
2. cSparsity cof cbody chair
3. cDeep ctone cto cthe cvoice
4. cSlow, crhythmic cgait c- cCORRECT cANS✔✔ANS c1
1 cThis cis ccorrect. cTall cand cthin cwith carms cdisproportionately clong cand cwith claxity cof cjoints care
cMarfan csyndrome. cThe cnurse cmay calso cnotice cdislocation cof clenses, cspinal cproblems, cstretch
cabnormalities, cand/or crestrictive clung cdisease. cMarfan csyndrome cis calso cassociated cwith caortic
cand/or cmitral cregurgitation.
2 cThis cis cincorrect. cA csparsity cof cbody chair cis cnot can cindication cof ccardiac cissues; cmale chigh
cexhibit cheavy cbody chair.
3 cThis cis cincorrect. cA cmale chigh cschool cstudent cis cexpected cto chave ca cdeep ctone cto chis cvoic
4 cThis cis cincorrect. cA cslow, crhythmic cgait cmay cbe cunique cto cthis cstudent; chowever, cit cdoes cn
cMarfan csyndrome.
The cnurse cis cproviding ccare cfor ca c12-year-old cpatient cwho cis chospitalized cwith cgeneralized cwe
cwhich cbegan cin cthe chips, cpelvic carea, cthighs, cand cshoulders. cThe cphysician csuspects cDuchen
cWhich caction cby cthe cphysician cdoes cthe cnurse cexpect?
1. cPrescribe cphysical ctherapy cto cimprove cmuscle cstrength.
2. cSuggest chomeschooling cuntil cthe cacute cstage cends.
3. cPerform can cechocardiogram cto cevaluate ccardiac cfunctioning.
4. cPerform cmuscle cbiopsies cto cidentify cthe cstage cof cthe cdisease. c- cCORRECT cANS✔✔ANS c3
3 cThis cis ccorrect. cThe cphysician cis clikely cto corder ccardiac ctesting, cespecially cto crule cout ccardi
cfrequently cassociated cwith cDuchenne cmuscular cdystrophy.
1 cThis cis cincorrect. cDuchenne cmuscular cdystrophy cis ca cprogressive cgenetic cdisease. cPhysical
cimprove cmuscle cstrength; cit cis cused cto cmaintain cbody cfunction cfor cas clong cas cpossible. c
2 cThis cis cincorrect. cDuchenne cmuscular cdystrophy cis ca cprogressive cgenetic cdisease. cThe cphy
chomeschooling cwhen cthe cpatient cis cno clonger cable cto cattend cclasses. cThere cis cno cacute csta
cimprove. c
4 cThis cis cincorrect. cThe cphysician cis cmore clikely cto cprescribe cneuromuscular ctests cto cdetermin
The cnurse cis cperforming ca cphysical cassessment con ca c7-year-old cchild cas ca crequirement cfor cp
cnurse creports cwhich cassessment cfinding cas cabnormal cand crequests ca cfollow-up cfrom ca cprima
1. cSystolic cblood cpressure cis c84 cmm cHg.
2. cSystolic cblood cpressure cis c90 cmm cHg cand cdiastolic cis c20 cmm cHg.
3. cPulse coximeter creading cis c95% con croom cair.
4. cPMI cis cat c4th cor c5th cintercostal cspace cat cthe cmidclavicular cline. c- cCORRECT cANS✔✔ANS
2 cThis cis ccorrect. cWide cpulse cpressures—diastolic cpressures care clow, cwith ca cwide cgap cbetwe
cpressures—are cindicative cof csuch cprocesses cas cpatent cductus carteriosus.
1 cThis cis cincorrect. cAverage csystolic cblood cpressures care cconsidered c70+ c(2´ cage cin cyears). c
3 cThis cis cincorrect. cPulse coximeter creadings cof c95% cof croom cair care cconsidered cnormal.
4 cThis cis cincorrect. cThe cpoint cof cmaximum cimpulse c(PMI) cis cheard cat cthe cfourth cor cfifth cinter
cmidclavicular cline c(MCL).
, 4. cAfter crepair, cthe cchild cis cno clonger cat crisk cfor ccardiac cproblems. c- cCORRECT cANS✔✔ANS
1 cThis cis ccorrect. cOptions care cto crepair cthe cpulmonary cartery cand/or cpulmonic cvalve cas csoon
cworsening cside ceffects cof cthe ccondition. c
2 cThis cis cincorrect. cSide ceffects cof cpulmonary cstenosis cinclude cincreased cworkload cof cthe crigh
chepatomegaly, cdevelopment cof cmurmurs, cshortness cof cbreath, cand ccyanosis. cDelaying ccorrec
ceffects cof cthe ccondition.
3 cThis cis cincorrect. cThe cinfant cwith cpulmonary cstenosis cwill cbe chospitalized cfor cassessment ca
4 cThis cis cincorrect. cThe cchild cmust creturn cto cthe ccardiologist cfrequently cfor cfollow-up, cand ccar
cinformation con cthe crecurrence cof csymptoms cthat cmay coccur cdue cto crestenosis.
The cparents care cpreparing cto ctake ctheir cnewborn, cwho cwas cdiagnosed cwith ctetralogy cof cFallo
chome. cThe cnurse cis cdeveloping ca cteaching csheet cregarding ccare cof cthe cnewborn cfor cthe cpar
cthe cnurse cneed cto cinclude cin cthe cteaching cplan?
1. cThere cis cno cneed cto climit cactivities.
2. cIt cis cimportant cto cmaintain ccaloric cintake.
3. cNo csecondary ccomplications care cexpected.
4. cThe cneonate chas cnatural cimmunity cto cinfections. c- cCORRECT cANS✔✔ANS c2
1 cThis cis cincorrect. cThe cparents cwill cbe ctaught cto ccalm cthe cinfant cby cholding cthe cinfant cover c
cthe cinfant's cknees cdrawn cup ctoward cthe cchest. cThis cwill cincrease cthe cblood cflow cto cthe clungs
ccardiac cstress cby ckeeping cthe cinfant ccalm.
2 cThis cis ccorrect. cDue cto ca cclinical cfinding cof cfailure cto cgain cweight, cthe cparents care cinstructe
cmaintaining ccaloric cintake. cFrequent csmall cfeedings care cnecessary cto cmeet cthis cneed cand cno
3 cThis cis cincorrect. cParents cneed cto cmonitor cfor csigns cand csymptoms cof cheart cfailure.
4 cThis cis cincorrect. cEducate cparents con cthe cincreased crisk cof cbacterial cendocarditis cand cthe cp
The cnurse cis creviewing cmedications cfor cthe ctreatment cof ca cheart crhythm cdisorder cin ca cpatient
cparent cof cthe cpatient cstates cthat cthe cphysician crecently cprescribed cmedication cto ctreat cthe cpa
hyperactivity cdisorder. cUsing cknowledge cof crecent cprofessional crecommendations, cwhich cstatem
1. c"We cneed cto cremind cthe cphysician cthere cis ca cheart ccondition."
2. c"Do cnot cstart cthe cmedication cuntil cI ccan ccheck cfor csafety cwarnings."
3. c"Children cwith cheart cdisorders chave ca chigher cincidence cof cADHD."
4. c"Giving cthe cmedication ccan ccause cdeath cif cthere cis ca ccardiac cissue." c- cCORRECT cANS✔✔
1 cThis cis cincorrect. cA cblack cbox cwarning cabout cgiving cmedications cfor cADHD cto cchildren cwith
cin c2006. cThe cAAP cand cthe cAHA cstate cthat cmedications cused cto ctreat cADHD chave cnot cbeen
ccause cheart cdisease cor cresult cin csudden ccardiac cdeath c(CDC, c2016; cMagellan cHealth, c2016a
ccontact cthe cprescribing cphysician. c
2 cThis cis cincorrect. cIf cthe cnurse cis cknowledgeable cabout ccurrent cmedication crecommendations
cparent cto chold cthe cmedication cuntil cthe csafety ccan cbe cchecked cby cthe cnurse. c
3 cThis cis ccorrect. cJoint cstatements cby cthe cAAP cand cthe cAHA cshow cthat cchildren cwith cheart cc
cincidence cof cADHD, cbut cthat cmedications cused cto ctreat cADHD chave cnot cbeen cshown cin cmos
cdisease cor cresult cin csudden ccardiac cdeath.
4 cThis cis cincorrect. cIt cis cinaccurate cand cinappropriate cfor cthe cnurse cto ctell cthe cparent cthat cthe
ccause cdeath cin cchildren cwith ccardiac cissues.
The cnurse cis cproviding ccare cfor ca cneonate cdiagnosed cwith ctetralogy cof cFallot. cProstaglandin cE
ckeep cthe cforamen covale cand cthe cductus carteriosus copen. cWhich cis cthe cmost cimportant cinterv
cinclude cin cthe cneonate's cplan cof ccare?
1. cMaintain ca cseparate cIV caccess cfor ccontinuous cadministration cof cthe cmedication.
2. cWatch cfor crespiratory cdistress cor capnea cafter cadding cmedication cto cthe cbreathing ctube.
3. cMonitor cfor cand cdocument cevidence cof cflushing, cbradycardia, cand cirritability cas cexpected.
4. cMonitor cweight cand cadjust cthe cdosage cusing ca cscale cof c0.05 cto c0.1 cmcg/kg/min cIV cinfusio
c1
1 cThis cis ccorrect. cDuring cthe cadministration cof cprostaglandin cE1, cthe cnurse cstarts cand cmainta
ccontinuous cadministration cof cthe cmedication.
2 cThis cis cincorrect. cDuring cthe cadministration cof cprostaglandin cE1, cthe cnurse cmonitors cfor cres
