Cardio peds (EXAM
4)
1. 1. Nursing interventions for the child after a cardiac
catheterization should include which actions? (Select all that apply.)
a.
Allow ambulation as
tolerated. b.
Monitor vital signs every 2
hours. c.
Assess the affected extremity for temperature
and color. d.
Check pulses above the catheterization site for equality and
symmetry. e.
Remove pressure dressing after 4
hours. f.
Maintain a patent peripheral intravenous catheter until discharge.:
Assess the attected extremity for temperature and color.
Maintain a patent peripheral intravenous catheter until discharge.
ANS: C, F
The extremity that was used for access for the cardiac catheterization must be checked for temperature
and color. Coolness and blanching may indicate arterial occlusion.
The child should have a patent peripheral intravenous line (PIV) to ensure adequate
hydration. The child should remain on bed rest with the leg extended for a minimum
of 4 hours.
Initially vital signs are taken every 15 minutes, with emphasis on a heart rate counted
for 1 minute. Pulses above the catheterization site should not be attected by the
, Cardio peds (EXAM
4)
catheterization.
Pulses distal to the site should be monitored.
, Cardio peds (EXAM
4)
The pressure dressings should not be removed for 24 hours.
2. 46. The nurse is caring for an infant with congestive heart disease
(CHD). The nurse should plan which intervention to decrease cardiac
demands?
a.
Organize nursing activities to allow for
uninterrupted sleep. b.
Allow the infant to sleep through feedings during
the night. c.
Wait for the infant to cry to show definite signs of
hunger. d.
Discourage parents from rocking the infan: Organize nursing activities to allow for
uninterrupted sleep.
3. 1. A chest radiograph film is ordered for a child with suspected
cardiac problems. The child's parent asks the nurse, "What will the
radiograph show about the heart?" What knowledge about the x-ray
should the nurse include in the response to the parents?
a.
Bones of chest but not the
heart b.
Measurement of electrical potential generated from heart
muscle c.
Permanent record of heart size and
configuration d.
Computerized image of heart vessels and tissues: ANS: C
A chest radiograph will provide information on the heart size and pulmonary blood-flow patterns. It will
provide a baseline for future comparisons. The heart will be visible, as well as the sternum and ribs.
4. Electrocardiography (ECG) measures: the electrical potential generated from heart
muscle.
5. Echocardiography will produce a: computerized image of the heart vessels and
tissues by using sound waves.
, Cardio peds (EXAM
4)
6. 2. The nurse is assessing a child after a cardiac catheterization.
Which com- plication should the nurse be assessing for?
4)
1. 1. Nursing interventions for the child after a cardiac
catheterization should include which actions? (Select all that apply.)
a.
Allow ambulation as
tolerated. b.
Monitor vital signs every 2
hours. c.
Assess the affected extremity for temperature
and color. d.
Check pulses above the catheterization site for equality and
symmetry. e.
Remove pressure dressing after 4
hours. f.
Maintain a patent peripheral intravenous catheter until discharge.:
Assess the attected extremity for temperature and color.
Maintain a patent peripheral intravenous catheter until discharge.
ANS: C, F
The extremity that was used for access for the cardiac catheterization must be checked for temperature
and color. Coolness and blanching may indicate arterial occlusion.
The child should have a patent peripheral intravenous line (PIV) to ensure adequate
hydration. The child should remain on bed rest with the leg extended for a minimum
of 4 hours.
Initially vital signs are taken every 15 minutes, with emphasis on a heart rate counted
for 1 minute. Pulses above the catheterization site should not be attected by the
, Cardio peds (EXAM
4)
catheterization.
Pulses distal to the site should be monitored.
, Cardio peds (EXAM
4)
The pressure dressings should not be removed for 24 hours.
2. 46. The nurse is caring for an infant with congestive heart disease
(CHD). The nurse should plan which intervention to decrease cardiac
demands?
a.
Organize nursing activities to allow for
uninterrupted sleep. b.
Allow the infant to sleep through feedings during
the night. c.
Wait for the infant to cry to show definite signs of
hunger. d.
Discourage parents from rocking the infan: Organize nursing activities to allow for
uninterrupted sleep.
3. 1. A chest radiograph film is ordered for a child with suspected
cardiac problems. The child's parent asks the nurse, "What will the
radiograph show about the heart?" What knowledge about the x-ray
should the nurse include in the response to the parents?
a.
Bones of chest but not the
heart b.
Measurement of electrical potential generated from heart
muscle c.
Permanent record of heart size and
configuration d.
Computerized image of heart vessels and tissues: ANS: C
A chest radiograph will provide information on the heart size and pulmonary blood-flow patterns. It will
provide a baseline for future comparisons. The heart will be visible, as well as the sternum and ribs.
4. Electrocardiography (ECG) measures: the electrical potential generated from heart
muscle.
5. Echocardiography will produce a: computerized image of the heart vessels and
tissues by using sound waves.
, Cardio peds (EXAM
4)
6. 2. The nurse is assessing a child after a cardiac catheterization.
Which com- plication should the nurse be assessing for?
