CJE PEDIATRICS OPEN CHECK EXAM REVIEW
What is the most appropriate nursing action for a 4-year-old child with a history of a
repaired congenital heart defect admitted with heart failure? - Answers -Increase
oxygen flow rate per protocol.
What are the vital signs of the 4-year-old child at 1200? - Answers -Temperature: 100.6
°F, Heart Rate: 132, Respiratory Rate: 38, Blood Pressure: 88/62, Oxygen Saturation:
94% on 2L/NC.
What were the morning laboratory results for the child with heart failure? - Answers -
Digoxin level: 1.1 ng/mL, Glucose: 134 mg/dL, Potassium: 5.9 mEq/L.
What is the reference range for digoxin levels? - Answers -0.8-2.0 ng/mL.
What is the reference range for potassium levels? - Answers -3.5-5.2 mEq/L.
What is the appropriate nursing action regarding potassium for the child with a
potassium level of 5.9 mEq/L? - Answers -Hold the potassium.
What should the nurse educate the parents of a child with heart failure about? -
Answers -Energy conservation.
What is the condition most likely experienced by the parent of a child requiring
extensive care? - Answers -Parental stress and burnout.
What did the parent express about their situation regarding care for their children? -
Answers -The parent feels overwhelmed and unable to focus on their other child due to
the care required for the sick child.
What was the sibling's reaction to the parent's attention being focused on the sick child?
- Answers -The sibling expressed frustration and rebellion, stating they do not have to
listen to the parent.
What is the significance of monitoring vital signs in a pediatric patient with heart failure?
- Answers -Vital signs help assess the child's response to treatment and overall
stability.
What does a respiratory rate of 38 indicate for a 4-year-old child? - Answers -It may
indicate tachypnea or respiratory distress.
What is the importance of monitoring oxygen saturation in a child with heart failure? -
Answers -It helps assess the adequacy of oxygenation and the effectiveness of
respiratory support.
What is the most appropriate nursing action for a 4-year-old child with a history of a
repaired congenital heart defect admitted with heart failure? - Answers -Increase
oxygen flow rate per protocol.
What are the vital signs of the 4-year-old child at 1200? - Answers -Temperature: 100.6
°F, Heart Rate: 132, Respiratory Rate: 38, Blood Pressure: 88/62, Oxygen Saturation:
94% on 2L/NC.
What were the morning laboratory results for the child with heart failure? - Answers -
Digoxin level: 1.1 ng/mL, Glucose: 134 mg/dL, Potassium: 5.9 mEq/L.
What is the reference range for digoxin levels? - Answers -0.8-2.0 ng/mL.
What is the reference range for potassium levels? - Answers -3.5-5.2 mEq/L.
What is the appropriate nursing action regarding potassium for the child with a
potassium level of 5.9 mEq/L? - Answers -Hold the potassium.
What should the nurse educate the parents of a child with heart failure about? -
Answers -Energy conservation.
What is the condition most likely experienced by the parent of a child requiring
extensive care? - Answers -Parental stress and burnout.
What did the parent express about their situation regarding care for their children? -
Answers -The parent feels overwhelmed and unable to focus on their other child due to
the care required for the sick child.
What was the sibling's reaction to the parent's attention being focused on the sick child?
- Answers -The sibling expressed frustration and rebellion, stating they do not have to
listen to the parent.
What is the significance of monitoring vital signs in a pediatric patient with heart failure?
- Answers -Vital signs help assess the child's response to treatment and overall
stability.
What does a respiratory rate of 38 indicate for a 4-year-old child? - Answers -It may
indicate tachypnea or respiratory distress.
What is the importance of monitoring oxygen saturation in a child with heart failure? -
Answers -It helps assess the adequacy of oxygenation and the effectiveness of
respiratory support.
