The nurse auscultates the first heart sound, interpreting this sound as occurring:

During observation of a child who has undergone cardiac catheterization, the nurse notes significant bleeding from the percutaneous femoral catheterization site. Which action should be taken first?

When caring for a child diagnosed with a ventricular septal defect, which description would the nurse incorporate when teaching the parents about this condition?

The nurse is caring for a newborn who has been diagnosed with a ventricular septal defect. The newborn is not exhibiting any signs of heart failure. The parents ask the nurse why the doctors do not want to perform surgery immediately on the newborn. Which is the most appropriate response?

A child with a ventricular septal defect repair is receiving dopamine (Intropin) postoperatively. The parents ask the nurse why the child is getting the medication. What is the best response by the nurse?

Which finding is expected by the nurse when assessing a child with an acyanotic heart defect?

Which nursing intervention is most appropriate when caring for an infant with heart failure?

An emergency room nurse is assessing a pediatric client in heart failure. Which symptom is consistent with a diagnosis of left-sided heart failure?

A nurse is reviewing the waveforms of an electrocardiogram of an infant with a nursing student. The student asks the nurse which waveform indicates ventricular depolarization and contraction. What would be the best response by the nurse?

A nurse is teaching wound care to parents after cardiac surgery. Which statement made by the nurse is most appropriate?

The nurse is preparing to discharge a child after cardiac catheterization. What is the most important information for the nurse to provide?

Which diet plan is recommended for an infant with heart failure?

The nurse is teaching the parents of a child who is scheduled for a cardiac catheterization. Which statement by the nurse is the most accurate regarding cardiac catheterization?

Which of the following is a noninvasive method of evaluating cardiac status in a child?

An echocardiogram has been ordered for a child. What is the most accurate information for the nurse to tell the parents?

A nurse is performing a cardiac assessment on a child. Which characteristic would indicate a diagnosis of a grade 1 heart murmur?

The following are found during the assessment of a 1-month-old child. Which of the following would lead the nurse to suspect a cardiac defect?

Which intervention or drug is recommended initially for preterm neonates to close a patent ductus arteriosus?

Which assessment finding would lead the nurse to suspect a child has a level greater than 2 mcg/ml?

A 2-year-old child is showing signs of shock. A 10 ml/kg bolus of normal saline solution is ordered. The child weighs 40 lb. How many milliliters should be administered?

Which nursing intervention would be most appropriate for a nurse to implement when caring for a 2-year-old child immediately after cardiac catheterization?

The nurse is caring for a 4-year-old client with a chest tube that has been placed on water seal. The nurse assesses the chest tube and determines that it is functioning correctly when which of the following occurs?

A boy with patent ductus arteriosus was delivered 6 hours earlier and is being held by his mother. As the nurse enters the room to assess the neonate’s vital signs, the mother says, “The physician says that my baby has a heart murmur. Does that mean he has a bad heart?” Which response by the nurse would be the most appropriate?

The parents of a newborn child have just been told that he has a heart defect known as patent ductus arteriosus. Which statement made by the parents indicates that teaching has been effective?

Which assessment would the nurse consider as a late sign of shock in a 6- month-old infant?

Parents ask a nurse about their 8-year-old son’s activity level after cardiac surgery. Which would be the best response by the nurse?

A cardiac catheterization has been scheduled for an 8-year-old child. Prior to the procedure, what would be the most appropriate nursing intervention for the child and his parents?

An 11-month-old infant with heart failure weighs 10 kg. Digoxin is prescribed as 10 mcg/kg/day in divided doses every 12 hours. How much is given per dose?

A client with Down syndrome (trisomy 21) comes to the pediatric clinic for a well visit. Which cardiac anomaly would this child be at risk for?

The nurse is assessing a child after a cardiac catheterization. Which of the following findings requires an immediate phone call to a physician?