Pediatrics - Alterations In Cardiovascular Function Part I

22 Questions | Total Attempts: 399

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Pediatrics Quizzes & Trivia

Questions and Answers
  • 1. 
    Usually with this type of lesion, one would see an increase in pulmonary blood flow with left to right shunting. This manifests during infancy or early childhood.
    • A. 

      Cyanotic Lesion

    • B. 

      Acyanotic Lesion

  • 2. 
    Cyanotic lesions have right to left shunting & __________ pulmonary blood flow.
    • A. 

      Increased

    • B. 

      Decreased

    • C. 

      Maintain

  • 3. 
    A child with a cyanotic lesion needs surgical intervention.
    • A. 

      True

    • B. 

      False

  • 4. 
    Which of the following is expected when auscultating the child with Congestive Heart Disease? (Select All That Apply)
    • A. 

      Murmurs

    • B. 

      Diminished Breath Sounds

    • C. 

      Fluid in Lungs

    • D. 

      Tachypnea

  • 5. 
    Upon inspection of a child with congestive heart disease, you note cyanosis, pallor, squatting, edema in the face & fatigue. Classic symptoms of congestive heart disease. What problems would you expect to see with the client's weight due to the disease?
    • A. 

      Poor Weight Gain

    • B. 

      Excessive Weight Gain

    • C. 

      No problems with weight

  • 6. 
    Along with peripheral edema, what would you expect to note in the child with congestive heart disease?
    • A. 

      Bounding Pulses

    • B. 

      Diminished Pulses

    • C. 

      Pulse Within Normal Limits

  • 7. 
    What clinical manifestations are seen with Increased Pulmonary Blood Flow? (Select all that apply)
    • A. 

      Tachypnea

    • B. 

      Cyanosis

    • C. 

      Polycythemia

    • D. 

      Frequent Respiratory Infections

    • E. 

      Diaphoresis

  • 8. 
    What clinical manifestations are seen with obstructed systemic blood flow? (Select all that apply)
    • A. 

      Diminished Pulses

    • B. 

      Ventricular Septal Defect

    • C. 

      Delayed Capillary Refill

    • D. 

      Increased Urine Output

    • E. 

      Coarctation of the Aorta

  • 9. 
    If a client shows signs of mixed defects, such as cyanosis, poor weight gain, pulmonary congestion, and CHF, what cardiac defect would you expect?
    • A. 

      ASD

    • B. 

      VSD

    • C. 

      TOF

    • D. 

      TGA

  • 10. 
    A client with a suspected heart defect is due for a cardiac catheterization with angiocardiogram at 11am. Which of the following statements would require further investigation & may delay or cancel the procedure?
    • A. 

      I always eat a snack at 11pm before I go to sleep.

    • B. 

      I love seafood - shrimp mainly. However, I've had an awful allergic reaction to shellfish before.

    • C. 

      I took all of my maintenance medications last night, including my blood pressure medication.

  • 11. 
    Following a cardiac catheterization with angiocardiogram procedure, the nurse should apply direct pressure to the catheterization site for ___ min and then apply pressure dressing for ___ hours.
    • A. 

      10 Minutes, 2 Hours

    • B. 

      15 Minutes, 6 Hours

    • C. 

      30 Minutes, 12 Hours

    • D. 

      45 Minutes, 24 Hours

  • 12. 
    Clinical Manifestations of ______ sided heart failure: Decreased amount of blood being oxygenated by the lungs.
    • A. 

      Right

    • B. 

      Left

  • 13. 
    Clinical Manifestations of _____ sided heart failure: Lungs become congested with blood causing increase in pulmonary pressure & pulmonary edema
    • A. 

      Right

    • B. 

      Left

    • C. 

      Neither

  • 14. 
    Which side of the heart usually fails in children & young infants?
    • A. 

      Right Side

    • B. 

      Left Side

    • C. 

      Both Right & Left Sides Simultaneously

  • 15. 
    Which of the following CHF signs would more than likely NOT be seen in an infant or young child?
    • A. 

      Nasal Flaring

    • B. 

      Hepatomeagaly

    • C. 

      Cardiomeagaly

    • D. 

      Jugular Vein Distention

  • 16. 
    In addition to oxygen therapy & rest, which of the following medications is included in the plan of treatment for a CHF client that increases contractility of the heart?
    • A. 

      Aldactone (Spironolactone)

    • B. 

      Lanoxin (Digoxin)

    • C. 

      Lasix (Furosemide)

    • D. 

      Diuril (Chlorothiazide)

  • 17. 
    While ______ is the diuretic of choice for acute, severe CHF - we know that it excretes sodium, chloride, and water. While this medication also depletes potassium, signs & symptoms of digoxin toxicity should be monitored.
    • A. 

      Aldactone (Spironolactone)

    • B. 

      Inspra (Eplerenone)

    • C. 

      Lasix (Furosemide)

    • D. 

      Dyrenium (Triamterene)

  • 18. 
    Digoxin, the drug of choice to treat CHF causes increased force of contraction, decreased heart rate, and increased renal perfusion should not be used in children younger than what age?
    • A. 

      One Month

    • B. 

      Six Months

    • C. 

      Twelve Months

    • D. 

      18 Months

  • 19. 
    Which of the following clients with CHF should the order for Digoxin be withheld?
    • A. 

      2 Year Old HR 105

    • B. 

      7 Year Old HR 75

    • C. 

      13 Year Old HR 65

    • D. 

      None of the above

  • 20. 
    Which of the following statements is false regarding the "Rules of Digoxin?"
    • A. 

      Give every 12 Hours

    • B. 

      If missed dose is more than 2 hours late, then do not give that dose

    • C. 

      Give 20 to 30 minutes before or 2 hours after meals

    • D. 

      If client vomits after taking Digoxin, do not repeat dose

  • 21. 
    The CHF client should maintain a potassium enriched diet. Which of the following are NOT enriched with Potassium?
    • A. 

      Oranges & Bananas

    • B. 

      Legumes & Potatoes

    • C. 

      Apricots, Peaches, Prunes & Dates

    • D. 

      Cranberries & Blueberries

  • 22. 
    Which of the following is false in caring for the pediatric client with CHF?
    • A. 

      Position Semi-Fowlers (45 degrees)

    • B. 

      Report weight gain > 20g/day

    • C. 

      Burp every 1 to 2 ounces

    • D. 

      Limit feedings 20 to 30 Minutes depending on the client

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