Nursing V 2050 Maternity and Pediatric Child with
Cardiovascular disorder Questions With Complete Solutions
11 year old girl with hypertension initial treatment Correct
Answers nutritional counseling,
weight reduction,
and exercise program.
A child with tetralogy of Fallot seems to favor a squatting
position why ? Correct Answers When the kid is in the
squatting position it allows the child to breathe more easily
because systemic venous return is increased.
a ventricular septal defect will allow: Correct Answers blood to
shunt left to right, causing increased pulmonary flow and no
cyanosis.
abnormal blood supply to the aorta (dextroposition) Correct
Answers In tetralogy of Fallot, the aorta is located between the
left and right ventricles, directly over the VSD. As a result,
oxygen-poor blood from the right ventricle flows directly into
the aorta instead of into the pulmonary artery.
In a healthy heart, the aorta is attached to the left ventricle. This
allows only oxygen-rich blood to flow to the body.
acquired heart disease Correct Answers Kawasaki disease
Myocarditis
Cardiomyopathy
Rheumatic heart disease
Infective endocarditis
,after an cardiac catheterization of a little guy 2-5 yr old Correct
Answers his leg must stay straight for 4- 6 hours --leave the
band aid on
antidote for digoxin ? Correct Answers Treating severe,
possibly life-threatening digoxin or digitoxin overdose.
Digibind is an antidote for digoxin toxicity. It works by binding
to digoxin and preventing it from working in the body.
blood pressure cuff Correct Answers should encircle two thirds
of the length of the upper arm for accurate reading
blood pressure higher in the arms than legs in an infant would be
associated with what congenital heart defect Correct Answers
coarctation of the aorta.
A significant difference in blood
pressure between the upper and lower extremities is a sign of
coarctation of the aorta.
CHF Correct Answers Congestive Heart Failure failure of the
heart to pump blood away from the heart causing accumulation
of fluid in the tissues and lungs
child is taking diuretics nurse should be watching Correct
Answers Electrolytes- they should be monitored
in the child receiving diuretics to prevent
electrolyte imbalance, particularly potassium depletion
children with the cholesterol levels of over Correct Answers
240mg/dl or history of cardiac death should be tested -- or two
, consecutive readings of 170 mg/dl should be followed closely
and nutritional guidance
clubbing Correct Answers abnormal enlargement of the distal
phalanges (fingers and toes) associated with cyanotic heart
disease or advanced chronic pulmonary disease
lack of O 2
Coarctation of Aorta Correct Answers narrowing of the
descending portion of the aorta, resulting in a limited flow of
blood to the lower part of the body
Coarctation of Aorta S/S Correct Answers increased BP and
O2 saturation in upper extremities compared to lower
extremities, nosebleeds, headaches, vertigo, leg pain, weak or
absent lower extremity pulses
notching of the ribs caused by vessels developed by collateral
circulation
Coarctation of Aorta treatment Correct Answers Balloon
angioplasty until lesion can be surgically corrected.then stent
or anastomosis after resection
Coarctation of Aorta treatment Correct Answers Signs: systolic
murmur, hypertension, diminished femoral pulses
Diagnosis: echocardiography
Treatment: pre-op prostaglandins to reopen ductus arteriosus +
surgical repair
congenital heart defect that results in decreased pulmonary
blood flow Correct Answers tetralogy
Cardiovascular disorder Questions With Complete Solutions
11 year old girl with hypertension initial treatment Correct
Answers nutritional counseling,
weight reduction,
and exercise program.
A child with tetralogy of Fallot seems to favor a squatting
position why ? Correct Answers When the kid is in the
squatting position it allows the child to breathe more easily
because systemic venous return is increased.
a ventricular septal defect will allow: Correct Answers blood to
shunt left to right, causing increased pulmonary flow and no
cyanosis.
abnormal blood supply to the aorta (dextroposition) Correct
Answers In tetralogy of Fallot, the aorta is located between the
left and right ventricles, directly over the VSD. As a result,
oxygen-poor blood from the right ventricle flows directly into
the aorta instead of into the pulmonary artery.
In a healthy heart, the aorta is attached to the left ventricle. This
allows only oxygen-rich blood to flow to the body.
acquired heart disease Correct Answers Kawasaki disease
Myocarditis
Cardiomyopathy
Rheumatic heart disease
Infective endocarditis
,after an cardiac catheterization of a little guy 2-5 yr old Correct
Answers his leg must stay straight for 4- 6 hours --leave the
band aid on
antidote for digoxin ? Correct Answers Treating severe,
possibly life-threatening digoxin or digitoxin overdose.
Digibind is an antidote for digoxin toxicity. It works by binding
to digoxin and preventing it from working in the body.
blood pressure cuff Correct Answers should encircle two thirds
of the length of the upper arm for accurate reading
blood pressure higher in the arms than legs in an infant would be
associated with what congenital heart defect Correct Answers
coarctation of the aorta.
A significant difference in blood
pressure between the upper and lower extremities is a sign of
coarctation of the aorta.
CHF Correct Answers Congestive Heart Failure failure of the
heart to pump blood away from the heart causing accumulation
of fluid in the tissues and lungs
child is taking diuretics nurse should be watching Correct
Answers Electrolytes- they should be monitored
in the child receiving diuretics to prevent
electrolyte imbalance, particularly potassium depletion
children with the cholesterol levels of over Correct Answers
240mg/dl or history of cardiac death should be tested -- or two
, consecutive readings of 170 mg/dl should be followed closely
and nutritional guidance
clubbing Correct Answers abnormal enlargement of the distal
phalanges (fingers and toes) associated with cyanotic heart
disease or advanced chronic pulmonary disease
lack of O 2
Coarctation of Aorta Correct Answers narrowing of the
descending portion of the aorta, resulting in a limited flow of
blood to the lower part of the body
Coarctation of Aorta S/S Correct Answers increased BP and
O2 saturation in upper extremities compared to lower
extremities, nosebleeds, headaches, vertigo, leg pain, weak or
absent lower extremity pulses
notching of the ribs caused by vessels developed by collateral
circulation
Coarctation of Aorta treatment Correct Answers Balloon
angioplasty until lesion can be surgically corrected.then stent
or anastomosis after resection
Coarctation of Aorta treatment Correct Answers Signs: systolic
murmur, hypertension, diminished femoral pulses
Diagnosis: echocardiography
Treatment: pre-op prostaglandins to reopen ductus arteriosus +
surgical repair
congenital heart defect that results in decreased pulmonary
blood flow Correct Answers tetralogy
