| Cardiology 1 | Cardiology 2 | Hematology 1 | Hematology 2 | Meds for Days |
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A, B, D, F
A tretalogy of fallot involves which defects. SELECT ALL THAT APPLY:
A. Ventricular septal defect (VSD) B. Right ventricula hypertrophy C. Left ventricular hypertrophy D. Pulmonic stenosis (PS) E. Pulmonic atresia F. Overriding Aorta G. Patent ductus arteriosus (PDA) |
D
What is the best nursing intervention to prevent infective endocarditis?
A. Encourage patient to increase ROM B. Keep child active by encouraging playing Wii sports C. Encourage the family and siblings to interact physically with the patient by playing age appropriate games D. Educate the family on the importance of rest and quiet developmental activities. |
A
What is the primary nursing objecting in caring for a child with sickle cell in a vaso-occlusive crisis?
A. Manage Pain B. Provide a cool environment C. Immobilize the affected part D. Limit fluids |
A, B and E
A child with hemophilia injured a knee while playing outside. the knee is swollen and painful. Which of the following measures can be taken to stop the bleeding?
A. The extremity should be immobilized B. The extremity should be elevated C. Place warm and cold compresses to decrease the pain D. Passive ROM to the extremity E. Factor VIII should be administered |
Factor VIII and Desmopressin (DDAVP)
Which medications would you expect a child with Hemophilia A to receive? (besides blood transfusions)
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A and C
What can you expect from cyanotic lesions? SELECT ALL THAT APPLY
A. they require surgical intervention B. Left to right shunting C. There is a decrease in pulmonary blood flow D. They can manifest from infancy to early childhood |
A and C
A patient suspected endocarditis would display the following clinical manifestations. SELECT ALL THAT APPLY:
A. Heart murmur B. Tachycardia C. Fatigue D. Syndenham Chorea E. Retractions |
A
Which nursing measure is most important to decrease the post-op complications of a child with sickle cell?
A. Increase fluids B. Prepare the child psychologically C. Discouraging coughing D. Limiting the use of analgesic |
D
Which of the following will be abnormal in a child with the diagnosis of hemophilia?
A. The platelet count. B. The hemoglobin level. C. The white blood cell count. D. The partial thromboplastin time. |
Folic Acid: helps make new red blood cells
Penicillin: Prevents infections (infections are a trigger for any crises) Hydroxyurea: prevents the fundamental disease process of sickle cells from sickling. It raises the level of HbF and the Hgb
Which medications would you expect a child with sickle cell anemia to take prophylactically to prevent any crises?
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A
The nurse explained how to position an infant with tetralogy of Fallot if the infant suddenly becomes cyanotic. The nurse can determine the father understood the instructions when he states "If the baby turns blue, I will:
A. hold him against my shoulder with his knees bent up toward his chest." B. lay him down on a firm surface with his head lower than the rest of his body." C. immediately put the baby upright in an infant seat." D. put the baby in supine position with his head elevated." |
B
A client is diagnosed with coarctation of the aorta. Which finding should the nurse expect during an assessment?
A. Normal BP B. Increased BP in the upper extremities C. Decrease BP in the upper extremities D. Decreased or absent pulses in the upper extremities |
D
Which factors may make adolescent girls at risk for iron deficiency anemia?
A. Menses B vegetarian diet C. Weight loss diets D. All of the above |
A, B, C, D
Which of the following activities should the nurse recommend for a child with hemophilia? SELECT ALL THAT APPLY:
A. swimming B. Golf C. Hiking D. Fishing E. Soccer |
-Is the child older than 1 month?
-HR: infant/toddler > 100 Older children > 80 Adolescents > 60 Home Instructions: - give Q 12 hours -Do not give dose if it is more than 4 hours late -give 30 min before meals or 3 hours after - do not repeat dose if child vomits
List some considerations before administering Digoxin for a child with CHF as well as some teaching required for the parent when administering Digoxin at home
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A, B, C, E
Infants with CHF fatigue easily. Feeding can be given more frequently in smaller amounts through a soft large-holed nipple. Formulas with a denser caloric content can be offered. The child may be encouraged to nurse if he or she is held.
How would the nurse caring for an infant with congestive heart failure (CHF) modify feeding techniques to adapt for the child's weakness and fatigue? SELECT ALL THAT APPLY:
A. Feeding more frequently with smaller feedings B. Using a soft nipple with enlarged holes C. Holding and cuddling the child during feeding D. Substituting glucose water for formula E. Offering high-caloric formula |
C
Which statement of a mother of child with rheumatic fever shows she has a good understanding of the care her child requires?
A. I will apply healt to his swollen joints for circulation B. I will have him do gentle stretching exercises to prevent contractures C. I will give him aspirin for pain an inflammation D. I will apply cold packs to reduce inflammation in his cold joints. |
D
Which instruction should a nurse provide when teaching the parent the proper administration of liquid oral Iron supplements?
A. Give the supplements with food B. Stop the medication if vomiting occurs C. Decrease the dose if constipation occurs D. Give the medication through a dropper or a straw |
B, C
A 5 y/o female is diagnosed with Idiopathic thrombocytopenic purpura (ITP) aftera having the mumps. She requires and splenectomy. The nurse is teaching the parents about what their daughter will require after discharge. SELECT ALL THAT APPLY:
A. Dexamethasone daily without abruptly stopping it B. Pneumococcus vaccine annually C. Daily penicillin 250 mg BID D. Aspirin as needed for pain |
Prostaglandin E1 (PGE1), also known as alprostadil is given in the first 5-10 minutes. this will allow for PDA to remain open and for oxygenated blood to be delivered to the body.
What medication would you expect an infant to receive if they are born with Transposition of Great Arteries (TGA) and what are some nursing consideration?
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A
Which home care instruction is most appropriate for a child after cardiac surgery?
A. Don't stop giving the child the prescribed drugs until the physician says so B. maintain sodium-restricted diet C. Routine dental care can be resumed D. Immunizations are delayed indefinitely |
B
The school nurse has been folowing a child who comes to the office frequently for vague complaints of diziness and headache. Today, she was brought in after fainting in the cafeteria following epistaxis. Her BP is 122/85 and her Radial pulses are bounding. The nurse suspects she has:
A. Transposition of the great vessels B. coarctation of the aorta C. Aortic stenosis D. Pulmonic stenosis |
A, C D
The nurse is caring for child who is receiving a blood transfusion of Packed RBCs. the Nurse is aware if the child had a hemolytic reaction the child would have which of the following? SELECT ALL THAT APPLY:
A. Fever B. Rash C. Oliguria D. Hypotension E. Chills |
A
Which one of the following is the most frequent form of internal bleeding in the child with hemophilia?
A. Hemarthrosis B. Epistaxis C. Intracranial hemorrhage D. Gastrointestinal tract hemorrhage |
Indomethacin and/or Ibuprofen
-These are both NSAIDs
What medications can be given to close a Patent Ductus Arteriosus (PDA) in preterm infants?
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