Test 3 Pediatric Nursing Exam Questions and Verified Answers
,what should you do during pre-op for a cardiac catheterization?
check allergies, make them NPO, locate and mark pulses, assess diaper area, may start
prophylactic antibiotics
what is congestive heart failure?
inability of the heart to pump an adequate amount of blood to the systemic circulation
from increased pulmonary flow or obstruction to heart outlets; may have pulmonary
edema, peripheral edema, hypertension, hepatosplenomegaly, systemic venous
congestion, weight gain, distended neck veins, pulmonary congestion, tachycardia,
decreased urine output, decreased BP, weak pulses
what is chronic hypoxia?
a reduction in tissue oxygenation caused by low oxygen saturation; heart defects cause
this when they cause decreased pulmonary blood flow
what is rheumatic fever?
inflammatory disease that occurs after Group A strep infection (Strep throat); treat with
penicillin, steroids, and NSAIDS, bedrest; will need monthly injections of Pen G, two daily
oral doses of penicillin, or daily doses of erythormycin that must be continued into
adulthood to prevent RF recurrence; diagnosed with Jones criteria and/or tested with
ASO titer
, what is kawasaki disease?
acute systemic vasculitis with unknown cause- causes segmental damage to muscular
arteries and coronary aneurysms and cardiomyopathy; diagnosed based on clinical
findings -- fever resistant to treatment lasting longer than 5 days with 4 out of 5 of the
following criteria: change in extremities - edema, erythema of palms and soles, peeling;
bilateral conjunctiva inflammation without drainage, changes in oral mucosa and
strawberry tongue, polymorphous rash, cervical lymphadenopathy; 3 phases; treat with
high does IVIG and salicylate therapy (aspirin)
what types of drugs are given for cardiac issues?
digoxin, ACE inhibitors (cause vasodilation), beta blockers (decreased HR), diuretics
(remove fluid and sodium)
what is normal hemoglobin for children?
10-16 g/dL
what is normal hematocrit for children?
30-45%
what are normal digoxin levels?
0.8 - 2
what
what is
area complications
cardiac catheterization?
of cardiac catheterization?
hemorrhage, fever, NV, loss of pulse in catheterized extremity, transient
dysrhythmias, infection