NUR 257 Exam 3- Peters study guide Questions
and Correct Answers with Complete Solutions |
2025-2026 | Galen College of Nursing
What is the problem w/ PDA? - ANSWERS -Patent Ductus Arterioles (artery
connecting aorta and pulmonary artery)
-Increased pulmonary blood flow, blood doesn't get to rest of body well
-Does not close at birth (usually does)
-Wide pulse pressure
What would be the expected goal/outcome if PDA is surgically repaired? -
ANSWERS -Clip off ductus preventing return blood flow to lungs
-Increase blood flow to body
-Indocin = medication that promotes closure
What assessment findings would the nurse anticipate finding in an infant with
coarctation of aorta? - ANSWERS -narrowing of aorta
-Increased BP in upper extremities
-Nosebleeds
-Weak or absent lower extremity pulses
-Cool lower extremities
What are the 4 problems in a child with Tetralogy of Fallot? - ANSWERS -VSD =
ventricular septal defects - hole in heart
-Overriding aorta (part opens in RV), aorta in wrong spot
, -R ventricular hypertrophy - enlargement of cardiac muscle
-Pulmonic stenosis - narrowing of pulmonary artery
-------Murmur
-------Cyanotic
-------Dyspnea
-------Polycythhemia
What instructions should the nurse provide parents who are having to administer
Digoxin to their child? - ANSWERS - BP and anti-arrhythmic
-Very narrow therapeutic range
-Do not administer if HR below 90 in infants and below 70 in children
-Nurse watches parent measure the elixir in the dropper and stresses the level
mark as the meniscus of the fluid that is observed at eye level
-Signs of dig toxicity: yellow vision, N/V, diarrhea, leads to dehydration
-Same time every day and twice a day
Purpose of administration of Lasix (Furosemide) to kids w/ CHF - ANSWERS -
Remove accumulated fluid and sodium
-Strict I/O
What are the benefits of supplementally feeding an infant with CHF tube
feedings? - ANSWERS -Small frequent feedings to help decrease oxygenation
consumption
-Monitors intake more strictly
-Control calories to help with growth and development
-Can monitor fluid
and Correct Answers with Complete Solutions |
2025-2026 | Galen College of Nursing
What is the problem w/ PDA? - ANSWERS -Patent Ductus Arterioles (artery
connecting aorta and pulmonary artery)
-Increased pulmonary blood flow, blood doesn't get to rest of body well
-Does not close at birth (usually does)
-Wide pulse pressure
What would be the expected goal/outcome if PDA is surgically repaired? -
ANSWERS -Clip off ductus preventing return blood flow to lungs
-Increase blood flow to body
-Indocin = medication that promotes closure
What assessment findings would the nurse anticipate finding in an infant with
coarctation of aorta? - ANSWERS -narrowing of aorta
-Increased BP in upper extremities
-Nosebleeds
-Weak or absent lower extremity pulses
-Cool lower extremities
What are the 4 problems in a child with Tetralogy of Fallot? - ANSWERS -VSD =
ventricular septal defects - hole in heart
-Overriding aorta (part opens in RV), aorta in wrong spot
, -R ventricular hypertrophy - enlargement of cardiac muscle
-Pulmonic stenosis - narrowing of pulmonary artery
-------Murmur
-------Cyanotic
-------Dyspnea
-------Polycythhemia
What instructions should the nurse provide parents who are having to administer
Digoxin to their child? - ANSWERS - BP and anti-arrhythmic
-Very narrow therapeutic range
-Do not administer if HR below 90 in infants and below 70 in children
-Nurse watches parent measure the elixir in the dropper and stresses the level
mark as the meniscus of the fluid that is observed at eye level
-Signs of dig toxicity: yellow vision, N/V, diarrhea, leads to dehydration
-Same time every day and twice a day
Purpose of administration of Lasix (Furosemide) to kids w/ CHF - ANSWERS -
Remove accumulated fluid and sodium
-Strict I/O
What are the benefits of supplementally feeding an infant with CHF tube
feedings? - ANSWERS -Small frequent feedings to help decrease oxygenation
consumption
-Monitors intake more strictly
-Control calories to help with growth and development
-Can monitor fluid
