Child Diagnosis Congestive Question & Answer Guide (With Explanation)

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What This Question Is About

This question relates to child diagnosis congestive and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves child diagnosis congestive. A strong answer should include explanation, application, and examples.

Original Question

1. A child has a diagnosis of congestive heart failure secondary to congenital heart defect. He is 4 years old and weighs 40 pounds. The physician writes an order of digoxin .25 MG Q 12 H. Direct me to dose is 4 µg per kilogram in two or more doses. Which action should be taken by the nurse? a. Withhold the medications and call the physician b. have the calculation checked by another registered nurse c. calculate the safe dose and administer the medications d. compared to order with the usual dose administered at home 2. A three-year-old has been diagnosed with atrial septal defect. Which of the following observations would be expected? select all that apply a. large for gestational age at birth b. abdominal distention c. increased pulse rate d. growth plotted at the 50th percentile 3. Based on the nurses understanding of the action of Lasix with Lanoxin therapy in children with CHF. Which of the following is accurate? a. children have a higher than normal pulse rate b. children are more likely to have symptoms of digitalis toxicity c. children will have a decreased urinary output d. children have a decrease probability of experiencing side effects from Lanoxin 4. When planning a patient and family education program for sickle cell disease, the nurse should include which of the following topics? a. Proper hand-washing and isolation from known sources of infection b. Preventive measures to keep siblings with the trait from getting the disease c. restricting fluids to 1000 mL a day d. aerobic exercises to increase oxygen available to tissues 5. A client with poorly controlled diabetes mellitus has just delivered a son. Which intervention should the nurse include in the newborns care-plan? a. Monitor for hypocalcemia by drawing blood every 2 to 4 hours b. monitor for hypercalcemia by drawing blood every hour c. monitor his blood glucose level at delivery and again 30 minutes later d. monitor his blood glucose level every 2 to 4 hour 6. The neonatal nurse just administer .03 MG Narcan to a flaccid newborn. Which of the following medications would have caused this affect on the neonate? a. Phenergan/IM during the latent phase of labor b. Meperidine, IV 30 minutes prior to birth c. Seconal/PO on admission the night prior to birth d. Fentanyl/epidural during active labor 7. Which of the statements below concerning the treatment of DKA in children are accurate. Select as many as appropriate. a. Insulin must be discontinued when urine has increased ketones b. if KCl is added to the IV, potassium level should be checked every shift c. Child should be placed on an apnea monitor d. An IV solution with glucose will be when the blood sugar is <250 mg 8. 11 month old Johnny has been diagnosed with rubella. It is most important to inform Johnny's mother of which of the following: a. isolate the child from pregnant women b. the child may develop high fevers causing seizures c. vitamin A must be safely stored away from children d. change bed linens every day to avoid re-infection 9. The nurse is caring for an infant admitted to the hospital with a respiratory syncytial virus infection. Which of the following assessment data would be of concern? a. Unable to get accurate blood pressure reading b. heart rate 160 bpm c. respiratory rate 70 breaths per minute d. temperature of 97.6°F

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