NURS 649 HESI CONGENITAL HEART DISEASE CASE STUDY

CONGENITAL HEART DISEASE Page 11.Clinical ManifestationsBilly is admitted to the pediatric unit for treatment of the CHF and is to be seen by a pediatric cardiologist for further cardiac assessment. The nurse interviews Teresa and Aaron and completes Billy's admission assessment. 2.1.ID: 9 Which clinical manifestations would the nurse expect to assess in an infant diagnosed with ventricular septal defect (VSD)? A. Normal S1 and S2 heart sounds with no audible murmur or palpable thrill. B.Tachypnea and grunting with intercostal and subcostal retractions. Correct C. Extreme pallor and porcelain-like skin. These are associated with iron-deficiency anemia, not VSD. D.Excessive bruising, lymphadenopathy, and poor skin turgor. Awarded 1.0 points out of 1.0 possible points. 3.The nurse continues Billy's admission assessment and obtains subjective data from Billy's parents concerning his normal routine for feeding, bathing, and playing. 4.2.ID: 3 Which statement by Teresa supports Billy's diagnosis of CHF? A. "Billy never seems to get full even when I breastfeed him for a long time." Correct B."He is always in a great mood, but he just will not go to sleep for more than 2 hours." C. "Billy has a bluish tinged color around his lips, and his little fingers are blue and cold." D."My son has many nosebleeds, and his gums bleed after I feed him." Awarded 1.0 points out of 1.0 possible points. Page 2 1. Diagnostic Tests The pediatric cardiologist schedules a cardiac catheterization for the next day. The pediatric nurse discusses the procedure with the parents. 2. 3.ID: 3 What should the nurse include when teaching Billy's parents about post- procedure care? AAdvise the parents that vital signs will be taken every 4 hours after Billy returns to the room. BInstruct the parents on the technique they should use to assess Billy's incision site. C.Explain that they will need to hold Billy in the prone position after the procedure.Correct D.Discuss the reason for placing Billy in a car seat for 6 hours post-procedure. He would not be allowed to sit up in a car seat. Correct Awarded 1.0 points out of 1.0 possible points. 3. As the nurse is obtaining informed consent for Billy's cardiac catheterization, Aaron says, "I am still not exactly sure why the doctor has to do the test." 4. 4.ID: 6 Which action should the nurse implement?