Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing

Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing Related

Review Cardiovascular Conditions Pediatrics Test Bank Questions Free Nursing related questions and content

The parents of a young child with heart failure tell the nurse that they are “nervous” about giving digoxin (Lanoxin). The nurse’s response should be based on which statement?

  • A. It is a safe, frequently used drug.
  • B. It is difficult to either overmedicate or undermedicate with digoxin.
  • C. Parents lack the expertise necessary to administer digoxin.
  • D. Parents must learn specific, important guidelines for administration of digoxin.
Correct Answer: D

Rationale: Digoxin has a narrow therapeutic range. The margin of safety between therapeutic, toxic, and lethal doses is very small. Specific guidelines are available for parents to learn how to administer the drug safely and to monitor for side effects. Digoxin is a frequently used drug, but it has a narrow therapeutic range. Small amounts of the liquid are given to infants, making it easy to overmedicate or undermedicate. Parents may lack the necessary expertise to administer the drug at first, but with discharge preparation, they should be prepared to administer the drug safely.

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Recognised causes of delayed speech include:

  • A. Hypothyroidism
  • B. PKU
  • C. Cystinuria
  • D. Twins
Correct Answer: A

Rationale: Hypothyroidism is a known cause of delayed speech. PKU and deafness can also cause speech delays, but cystinuria is not associated with speech delay.

Coarctation of aorta is:

  • A. Commonly associated with Turner's syndrome
  • B. Inherited as autosomal dominant
  • C. Associated with intracranial aneurysms
  • D. Excluded from the diagnosis in the presence of femoral pulses
Correct Answer: A

Rationale: Coarctation of the aorta is commonly associated with Turner's syndrome, a chromosomal condition affecting females.

Closure of the ductus will worsen following conditions

  • A. Transposition of great vessels
  • B. Tricuspid Atresia
  • C. Hypoplastic Left heart syndrome
  • D. Tetrology of Fallots
Correct Answer: C

Rationale: Closure of the ductus arteriosus worsens hypoplastic left heart syndrome by removing the only source of systemic circulation.

A male client with diabetes mellitus (DM) is transferred from the hospital to a rehabilitation facility following treatment for a stroke with resulting right hemiplegia. He tells the nurse that his feet are always uncomfortably cool at night, preventing him from falling asleep. Which action should the nurse implement.

  • A. Provide a warming pad (Aqua-pad or K-pad) to feet
  • B. Medicate the client with a prescribed sedative
  • C. Use a bed cradle to hold the covers off the feet
  • D. Place warm blankets next to the client's feet
Correct Answer: D

Rationale: Warm blankets can help improve circulation and provide comfort without the risk of burns associated with heating pads.

Defects of complement system should be suspected in:

  • A. Recurrent folliculitis
  • B. Facial swelling following trauma
  • C. Recurrent meningococcal infection
  • D. Pneumocystis carinii pneumonia
Correct Answer: C

Rationale: Recurrent meningococcal infection: Defects in the complement system, especially the terminal complement components, increase the risk of recurrent meningococcal infections.

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