Custom: PEDIATRIC CARDIAC 2

A nurse is reinforcing education about the pathophysiology of cardiomyopathy to the family of a child who has been recently diagnosed with the condition. Which of the following statements made by a caregiver indicates understanding?

"There is an increased workload on the left side of the heart, making the muscle thicker and harder for the heart to pump blood through the body."

A nurse is reinforcing education with the family of an infant who has a significant atrial septal defect (ASD). Which of the following is an accurate statement regarding clinical manifestations of ASD?

"The infant could experience recurrent respiratory infections."

A nurse is reinforcing education regarding dental visits with the caregivers of a child who has a history of recurrent infectious endocarditis. Which of the following statements made by the caregivers indicates an understanding of the education provided?

"My child should take prophylactic antibiotics before dental visits or invasive oral procedures."

A nurse is assisting in the care of a school-aged child with tetralogy of Fallot. The caregivers ask the nurse if there are any mental health concerns associated with this condition that they should be aware of. Which of the following statements made by the nurse is appropriate?

"Children with tetralogy of Fallot are at greater risk for developing psychiatric disorders. Please call the clinic if you have concerns about changes in their mood or behavior."

A nurse is reinforcing education to the family of a client who has infective endocarditis. Which of the following statements made by the nurse is accurate regarding this condition?

"Endocarditis is an infection of the endocardium resulting from a bloodborne pathogen that adheres to an injured part of the endocardium."

A nurse is reinforcing education regarding oral antibiotics to the family of a child with infectious endocarditis. Which of the following statements by the client's caregiver indicates an understanding of the education?

"My child should finish all the antibiotics prescribed, even if they are feeling better."

A nurse is assisting with the care of a 13-year-old who has an atrial septal defect (ASD). Their caregivers raise concerns regarding mood changes, reporting the child seems more anxious and worried than usual over the past year. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?

"Children with ASD are at greater risk for experiencing anxiety."

A nurse is assisting with the care of a 2-year-old who has a strong family history of hypertension. At the clinic visit, the child's caregiver asks when it would be appropriate to monitor blood pressure. Which of the following statements made by the nurse is accurate?

"Your child should have their blood pressure checked every time they are seen for a health care visit."

A nurse is reinforcing education to a family with a child who has Kawasaki disease. Which of the following statements made by the caregiver indicates an understanding of the education provided?

"Kawasaki disease is an abnormal immune system response that can weaken the coronary arteries."

A nurse is providing care for an infant who has heart failure and is being discharged from the hospital. When reinforcing discharge education, which of the following clinical manifestations should the nurse ensure caregivers are able to identify as signs of worsening heart failure?

Tachypnea and diaphoresis with feeding, poor weight gain, and irritability

A nurse is assisting in the care of an infant diagnosed with tetralogy of Fallot. The infant's caregiver asks the nurse to explain this diagnosis . Which of the following is an accurate statement about this condition?

"Tetralogy of Fallot is a group of four heart defects that impact circulation of blood in your child's body. These are pulmonary stenosis, ventricular septal defect, right ventricular hypertrophy, and an overriding aorta."

A nurse is providing care to an adolescent who has cardiomyopathy. The adolescent's caregivers report concern regarding mood changes and loss of interest in activities and sports their child used to enjoy. Which of the following statements made by the nurse regarding cardiomyopathy is appropriate?

"Children who have cardiomyopathy are at greater risk for depression."

A nurse is reinforcing education with the family of a school aged client who has a history of atrial septal defect (ASD) with surgical repair. The child's caregivers ask the nurse if their child can play sports. Which statement made by the nurse is most appropriate?

"Your child can participate in team sports as tolerated."

A nurse is assisting with the care of an infant who has tetralogy of Fallot. The infant's caregiver reports increased irritability and a bluish discoloration of the infant's skin Which of the following interventions is the nurse's priority?

Placing the child in a knee-to-chest position

A nurse is collecting data on an infant in the cardiology clinic. Which of the following sets of clinical manifestations is consistent with a large ventricular septal defect?

Murmur, tachypnea, and fatigue with feeds

A nurse is reinforcing education with the family of a child who has Kawasaki disease without an aneurysm. The caregivers ask how soon their child should be able to return to normal activity. Which of the following statements made by the nurse is appropriate?

"Your child should be able to return to their usual level of activity in 3 to 4 weeks."

The nurse is assisting in the care of a 10-year-old who has a new diagnosis of dyslipidemia. The caregivers ask the nurse about the initial treatment for dyslipidemia. Which of the following responses made by the nurse is appropriate?

"The initial treatment is a heart-healthy lifestyle incorporating dietary changes, activity and weight management."

A nurse is reinforcing health promotion education with an adolescent diagnosed with dyslipidemia. Which of the following statements made by the adolescent indicates an understanding of the education? (Select all that apply.)

"I should limit my intake of fast foods."

"I should limit my intake of red meat."

"I should increase my fiber intake in my diet."

"I should limit the intake of beverages sweetened with sugar."

A nurse is collecting data from a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?

Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

The nurse is assisting in the care of a child in a primary care office. The child's caregivers ask the nurse about risk factors for dyslipidemia. Which of the following is an accurate statement about the condition?

"A family history of elevated lipids is a risk factor for dyslipidemia."