Nursing care of the infant and child with congestive heart failure includes

Force fluids appropriate in age

Organize activities to allow for uninterrupted sleep

monitor respirations during the active period

give larger feedings less often to conserve energy

Answer and Explanation

The Correct Answer is A

Force fluids appropriate in age: It's important to ensure that the child receives an appropriate amount of fluids, taking into consideration their age and weight. This helps prevent dehydration and maintain adequate circulation.
In addition to option A, other important nursing care measures for infants and children with congestive heart failure include:
B. Organize activities to allow for uninterrupted sleep: Infants and children with heart failure may become fatigued easily, so it's important to create an environment that allows for sufficient rest and sleep.
C. Monitor respirations during active periods: Monitoring the child's respiratory rate and effort during active periods helps assess for signs of respiratory distress, which can be a manifestation of congestive heart failure.
D. Give smaller, more frequent feedings to conserve energy: Smaller, more frequent feedings can help reduce the energy expenditure required for digestion, making it easier for the child to eat and conserve energy for growth and development.
The focus of nursing care is to manage the symptoms of heart failure, support the child's overall well-being, and prevent complications. The specific interventions may vary based on the child's age, the severity of heart failure, and the underlying cause.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Assessing pulses is a critical step immediately after a cardiac catheterization procedure because it helps determine the adequacy of blood flow to the extremities and any potential vascular complications. Cardiac catheterization involves the insertion of a catheter through blood vessels, which can temporarily affect blood flow. Checking pulses in the affected limb (e.g., the leg or arm where the catheter was inserted) is essential to detect any signs of vascular compromises, such as decreased or absent pulses, which could indicate complications like arterial thrombosis or embolism. Prompt recognition of such issues is crucial for timely intervention to prevent potential complications or limb damage.

The other options are also important but should be addressed after the initial assessment of pulses:
A. Pain: Assessing pain is important, but it should come after checking pulses. If the child reports pain, it could indicate discomfort or complications related to the procedure, which may require further evaluation and intervention.
C. Catheterization report: Reviewing the catheterization report is necessary for a comprehensive understanding of the procedure and its findings, but it is not the immediate priority when assessing the child's post-procedure condition.
D. Hemoglobin and hematocrit levels: Checking hemoglobin and hematocrit levels is important to monitor for potential bleeding complications that may occur during or after the procedure, but it is a secondary assessment compared to evaluating pulses. If there are significant changes in these levels, they may require further investigation and intervention.

In summary, assessing pulses is the initial priority after a cardiac catheterization procedure in order to promptly identify any vascular issues or complications that need immediate attention.

A. Tetralogy of Fallot B. Hypoplastic Left Heart Syndrome C. Atrial Septal Defect (ASD) D. Ventricular Septal Defect E. Coarctation of the Aorta

Correct Answer is ["A","B","E"]

Explanation

The congenital heart diseases that often require multiple surgeries to correct are:

A.Tetralogy of Fallot usually requires staged surgical repairs, with multiple surgeries performed over time to address the various components of the defect.

B.Hypoplastic Left Heart Syndrome typically requires a series of staged surgeries, including the Norwood procedure, Glenn procedure, and Fontan procedure, to manage the condition.

E.While some cases can be corrected with a single surgery or catheter-based intervention, re-narrowing (re-coarctation) is common, especially in infants. This may necessitate repeat surgeries or balloon angioplasty later in life.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing care of the infant and child with congestive heart failure includes

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 10-year-old has undergone a cardiac catheterization. At the end of the procedure, the nurse should first assess

Correct Answer is B

Explanation

Which of the following congenital heart diseases require multiple surgeries to correct? (Select All that Apply)

Correct Answer is ["A","B","E"]

Explanation

A nurse on a mother-baby unit is caring for a 2-day-old baby boy. The patient was seen by a urologist at 0000 and was diagnosed with hypospadias, Which order by the pediatrician is contraindicated?

The nurses admiting a school-age child in acute renal failure o reduced glomerular filtration rate. Which urine test is the most useful clinical indication of glomerular filtration rate?

What is the advantage of teaching to the family about continuous cycling peritoneal dialysis (CCPD) or continuous ambulatory peritoneal (CAPD) for adolescents who require dialysis?

Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most

The nurse is caring for a 4-month-old with a history of ventricular septal defect. The infant is admitted for failure to thrive. What supportive measure would the nurse anticipate in an infant with congestive heart failure?

A pediatric nurse is seeing a B-year-old following a post-cardiac catheterization procedure. Which of the following interventions ordered by the physician should be questioned by the nurse? [Select All that Apply)

Surgical repair for patent ductus arteriosus (PDA) is done to prevent the complication of