The home health nurse is providing care to the child with HF. Which action should be the nurse’s priority when thinking that the child may have developed a dysrhythmia?

The nurse is caring for the pediatric client immediately following a permanent pacemaker placement. Which nursing intervention is priority?

The pediatric client receives treatment to convert an SVT rhythm to a sinus rhythm. The nurse instructs the child’s parents on interventions to terminate the SVT rhythm should the rhythm recur. Which information stated by a parent indicates further teaching is needed?

The nurse is educating the adolescent client about simvastatin. Which information should the nurse include when teaching the client?

Before administering oral digoxin to the pediatric client, the nurse assesses that the child has bradycardia and mild vomiting. Which is the nurse’s most appropriate action?

The nurse assesses that the newly admitted pediatric client has tachycardia, edema, dyspnea, orthopnca, and crackles. The nurse should plan interventions to treat which possible condition?

The nurse is preparing to administer newly prescribed medications to the pediatric client with hypertension. Which medication classification, if prescribed, should the nurse question?

The ED nurse is assessing the pediatric client with a tentative diagnosis of acute pericarditis. Which assessment finding should the nurse conclude supports acute pericarditis?

The nurse is suctioning the pediatric client who just had cardiac surgery. The nurse obsewes tachypnea, the use of accessory muscles to breathe, and restlessness. Which action should be taken by the nurse?

The nurse is caring for the child who has liver enlargement secondary to infective endocarditis. The nurse should assess the child for which associated complication?

The nurse is discussing the infant’s diagnosis of hypoplastic left heart syndrome (HLHS) with the parents. The father states, “Shouldn’t this get better when the heart grows in size with the baby?” How should the nurse respond to the father?

The nurse is caring for the pediatric client with congenital heart disease. The nurse should monitor the client for which specific complications?

The nurse is managing the care of the infant with an unrepaired heart defect. Which recommendation should the nurse communicate to the parents?

The nurse is teaching the parents of the child with a history of hypoxemia. The nurse should instruct the parents to immediately notify the I-ICP if the child is experiencing which manifestation(s)?

The nurse assesses the pain level of the Native American pediatric client recovering from cardiac surgery. Knowing that Native American pediatric clients may not express pain, the nurse reviews the child’s pulse and BP readings following analgesic administration. Which finding indicates that the client’s pain is not well controlled?

The nurse is planning care for the infant with tetralogy of Fallot. Which intervention should the nurse include to best promote adequate nutrition?

The nurse is caring for the l2-kg child following cardiac surgery- The chest tube drainage totals 200 mL for the past hour. Which is the nurse’s best action?

The nurse is interpreting an ECG rhythm strip for the 2-year-old child with a congenital heart defect. The measurement for the PR interval is 0.26 seconds; the QRS is 0.08 seconds, and the QT is 0.28. The ventricular rate is 126 bpm. How should the nurse document the child’s rhythm?

The nurse completes an assessment of the 2-month-old infant during a well-child checkup. The nurse should report which finding to the HCP?

The nurse obtains an Sao2 value of 90% for the pediatric client with HF and intervenes by administering oxygen. Which statement should be the basis for the nurse’s decision to initiate oxygen?

The 6-month-old infant being seen in the clinic has an HR of 167 bpm, RR of 65 bpm, and Spo2 of 98%. The mother states the infant gets very tired with feedings, eating approximately two ounces every four hours. Which action should be the nurse’s priority?

Prior to administering digoxin to the 6-year-old child with HF, the nurse reviews the child’s serum laboratory report. Which value should concern the nurse and be reported to the HCP?

The nurse administers a calcium channel blocker to the 10-year-old experiencing fatigue and dependent edema from HP. The child’s baseline BP is 108/65 [11111 Hg. Which finding best indicates that the medication has had the desired therapeutic effect?

The nurse is reviewing orders for the 10-year- old about to undergo a cardiac catheterization in two hours. Which prescription should the nurse question with the HCP?

The nurse is reviewing laboratory results for the child with Kawasaki disease. Which result requires the nurse’s immediate notification of the HCP?

The nurse arrives at a local park to find a group of people surrounding a pediatric victim who collapsed just seconds ago. The child is not breathing and is without a pulse, so a witness calls for emergency assistance. Which compression-to-ventilation ratio should be used by the nurse when initiating single- rescuer CPR?

The nurse is feeding the infant with HF. Which intervention should the nurse implement?