WK 4 - Unit 4 Quiz answer key PDF

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Unit 4 In-Class Quiz An infant is receiving digoxin for congestive heart failure. The apical heart rate in one minute is 88 beats. What priority intervention should the nurse implement? A. Call for a portable chest radiograph B. Obtain a therapeutic drug level C. Reassess the heart rate in 30 minutes D. Administer digoxin immune Fab (Digabind) stat When caring for a child with congenital heart disease and polycythemia, which nursing intervention has the highest priority? A. Restricting fluids as ordered B. Maintaining adequate hydration C. Maintaining digoxin levels D. Administering oxygen therapy continuously The nurse should teach parents of a child with cyanotic heart defects to perform which action when a hypercyanotic spell occurs? A. Place the child’s head flat, knees on pillow above level of the heart. B. Have the child lie on their right side, with the head elevated on one pillow. C. Allow the child to assume the knee-chest position, with the head and chest slightly elevated. D. Encourage the child to sit up at a 45-degree angle, drink cold water and take deep breaths. An 18-month old child returns to the unit following cardiac catheterization with a cannulated femoral artery site. Which intervention should the nurse initiate? A. Teach the parents how to ambulate the child in the room safely. B. Show the parents how to hold the child with the extremity extended. C. Restrain the child’s lower extremities for a minimum of 4 hours. D. Place the child in a prone position to apply pressure to the site. The nurse knows that an early warning sign for heart failure in an infant is: A. Profuse scalp sweating and tachycardia B. Fatigue and tachypnea C. Tachypnea and bradycardia D. Profuse scalp sweating and bradycardia When performing an initial assessment on an infant, the nurse understands assessing pulses and blood pressure in all 4 extremities is assessing for: A. Pulmonic stenosis B. Coarctation of the Aorta C. Aortic Stenosis D. Ventricular Septal Defect

All of the following increase fluid requirements in children except? A. Elevated body temperature B. Postoperative bowel surgery C. Increased intracranial pressure D. High-output kidney failure Which fluid related condition is most commonly seen in infants and children? A. Extracellular fluid loss from fever B. Intracellular fluid loss from renal failure C. Intracellular fluid loss from shock D. Extracellular fluid loss from gastroenteritis Why are infants especially vulnerable to water intoxication? A. The thirst mechanism in infants is well developed. B. Formula is often mixed at a thicker concentration. C. Infants do not excrete water as effectively as adults. D. Insensible fluid losses are decreased in infants. Which treatment is best for a child with mild dehydration? A. Oral hydration B. Parental therapy C. Saline injection D. Rectal infusion Which of the following does NOT predispose the patient to urinary tract infections? A. The short urethra in a young girl. B. Urinary stasis C. Urinary reflux D. Lowering of urine pH Which organism is MOST often the cause of urinary tract infections? A. Proteus B. Staphylococcus aureus C. Haemophilus D. Escherichia coli Which nursing intervention would NOT be appropriate for a child admitted with a urinary tract infection? A. Careful intake and output. B. Frequent vital signs. C. Teaching regarding prevention of urinary tract infections. D. Frequent measurement of abdominal girth.

A newborn infant whose mother is HIV-positive is scheduled for the first follow-up assessment with the nurse. If the child is HIV-positive, which initial symptoms is he/she most likely to exhibit? A. Shortness of breath B. Joint pain C. Persistent cold D. Organomegaly A patient admitted for a sickle cell crisis has which of the following priority nursing interventions: A. Temperature control B. Monitoring strict I/O C. Pain management D. Administering blood products The school nurse is concerned when a 6-year-old student with hemophilia enters her office with a gym injury because she knows this patient has a bleeding tendency due to a deficiency in: A. Platelets B. Red blood cells C. Factor VIII D. Hemoglobin...