LPN Pediatric Cardiovascular Nursing Questions

LPN Pediatric Cardiovascular Nursing Questions Related

Review LPN Pediatric Cardiovascular Nursing Questions related questions and content

Seventy-two hours after cardiac surgery, a young child has a temperature of 101° F. Which action should the nurse take?

  • A. Keep child warm with blankets.
  • B. Apply a hypothermia blanket.
  • C. Record temperature on nurses’ notes.
  • D. Report findings to physician.
Correct Answer: D

Rationale: In the first 24 to 48 hours after surgery, the body temperature may increase to 37.7° C (100° F) as part of the inflammatory response to tissue trauma. If the temperature is higher or continues after this period, it is most likely a sign of an infection and immediate investigation is indicated. Blankets should be removed from the child to keep the temperature from increasing. Hypothermia blanket is not indicated for this level of temperature. The temperature should be recorded, but the physician must be notified for evaluation. Suctioning should be done only as indicated, not on a routine basis. The child should be suctioned for no more than 5 seconds at one time. Symptoms of respiratory distress are avoided by using appropriate technique.

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Which of the following is a neurocutaneous syndrome without cutaneous manifestations?

  • A. Sturge-Weber syndrome
  • B. Tuberous sclerosis
  • C. Ataxia telangiectasia
  • D. Von Hippel-Lindau disease
Correct Answer: D

Rationale: Von Hippel-Lindau disease is a neurocutaneous syndrome that primarily affects internal organs and often lacks cutaneous manifestations.

Diastolic dysfunction and normal systolic function are recognized features of

  • A. dilated cardiomyopathy
  • B. hypertrophic cardiomyopathy
  • C. left ventricular noncompaction
  • D. restrictive cardiomyopathy
Correct Answer: D

Rationale: Restrictive cardiomyopathy is specifically characterized by diastolic dysfunction with preserved systolic function.

The routine investigation of a 4-year-old with an uncomplicated UTI involves:

  • A. Renal ultrasound scan
  • B. Micturating cystogram
  • C. DMSA (dimercaptosuccinic acid) scan
  • D. DTP scan
Correct Answer: A

Rationale: A renal ultrasound scan is a standard initial investigation for a child with an uncomplicated UTI to assess for structural abnormalities.

Can parents hold their child during an echocardiogram procedure?

  • A. You will be able to hold your child during the procedure.
  • B. Your child can be active during the procedure, but can’t sit in your lap.
  • C. Your child must lie quietly; sometimes a mild sedative is administered before the procedure.
  • D. The procedure is invasive so your child will be restrained during the echocardiogram.
Correct Answer: C

Rationale: Although an echocardiogram is noninvasive, painless, and associated with no known side effects, it can be stressful for children. The child must lie quietly in the standard echocardiographic positions; crying, nursing, or sitting up often leads to diagnostic errors or omissions. Therefore, infants and young children may need a mild sedative; older children benefit from psychological preparation for the test. The distraction of a video or movie is often helpful.

The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess urine output?

  • A. Inserting a foley catheter.
  • B. Weighing the diapers.
  • C. Comparing intake with output.
  • D. Measuring the amount of water added to the formula.
Correct Answer: B

Rationale: Weighing diapers is a non-invasive and accurate method to assess urine output in infants, which is crucial for monitoring the effectiveness of diuretic therapy.

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