Which of the following interventions is not recommended for a pediatric patient with supraventricular tachycardia (SVT)?

Cardioversion

Vagal Maneuvers

Adenosine

Continue to monitor for 30 minutes

Answer and Explanation

The Correct Answer is A

Cardioversion involves delivering an electrical shock to the heart to restore a normal rhythm. While it may be used for certain types of tachyarrhythmias in adults, it is typically not the first-line treatment for SVT in pediatric patients.
In pediatric patients with SVT, the initial management options often include:
B. Vagal maneuvers: Non-invasive maneuvers like the Valsalva maneuver or carotid sinus massage can be attempted to try and break the SVT rhythm.
C. Adenosine: Adenosine is often the first-line medication used for terminating SVT in pediatric patients. It is given intravenously in a controlled setting under medical supervision.
D. Continue to monitor for 30 minutes: After successful termination of SVT, it's important to continue monitoring the child's heart rhythm and vital signs to ensure that the arrhythmia does not recur.

In pediatric patients, the decision to use cardioversion is usually reserved for situations where other methods, including medications and vagal maneuvers, have not been successful or if the child is unstable. Cardioversion in pediatric patients is performed under sedation or anesthesia to minimize discomfort.
Therefore, while cardioversion may be used in some cases, it is not the initial or most common approach for treating SVT in pediatric patients, making option A the answer to the question.

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 D

Explanation

Tetralogy of Fallot is a congenital heart defect characterized by a combination of four specific heart abnormalities:
Ventricular septal defect (VSD): A hole in the wall (septum) between the two lower chambers (ventricles) of the heart.
Overriding aorta: The aorta is positioned over both the left and right ventricles, allowing oxygen-poor (deoxygenated) blood from the right ventricle to mix with oxygen-rich (oxygenated) blood from the left ventricle.
Pulmonic stenosis: Narrowing of the pulmonary valve or artery, which restricts blood flow from the right ventricle to the lungs.
Right ventricular hypertrophy: The right ventricle becomes thicker and more muscular as it works harder to pump blood against the narrowed pulmonary valve or artery.
The combination of these defects results in deoxygenated blood from the right ventricle being pumped into the systemic circulation, leading to cyanosis (blueness of the skin) due to decreased oxygen levels in the arterial blood.
The other options (A, B, and C) describe different congenital heart defects but do not specifically result in cyanosis due to deoxygenated blood entering the systemic circulation:

A. Coarctation of the aorta results in the narrowing of the aorta but does not directly lead to cyanosis from the mixing of oxygen-poor blood.

B. Aortic stenosis involves narrowing of the aortic valve but does not typically result in cyanosis in the same way as Tetralogy of Fallot.

C. Patent ductus arteriosus (PDA) involves a connection between the aorta and pulmonary artery but does not cause cyanosis from mixing to the extent seen in the Tetralogy of Fallot.

A. treatment of the underlying cause. B. low-salt diet. C. Increased exercise and fitness D. weight reduction.

Correct Answer is A

Explanation

Secondary hypertension in children is hypertension (high blood pressure) that is caused by an underlying medical condition or medication. The primary approach to managing secondary hypertension is to identify and treat the underlying cause. This may involve medical treatment, surgery, or other interventions, depending on the specific condition responsible for the high blood pressure.

While lifestyle modifications such as a low-salt diet, increased exercise, fitness, and weight reduction can be important components of managing blood pressure in some cases, they are not the primary therapy for secondary hypertension. The focus should be on addressing the root cause of hypertension, and lifestyle modifications may be recommended as part of the overall treatment plan.

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

Which of the following interventions is not recommended for a pediatric patient with supraventricular tachycardia (SVT)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following disorders leads to cyanosis from deoxygenated blood entering the systemic arterial circulation?

Correct Answer is D

Explanation

The primary therapy for secondary hypertension in children is...

Correct Answer is A

Explanation

A 1000 mL 0.9% NS bag is to be administered to a patient at 20 mL/hr. The patient is to receive this solution for hours. How many mi will the patient receive? (Round to the nearest whole number)

A 2-month-old patient has a history of phimosis What statement by the father indicates a need for further teaching?

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)

A community health nurse is creating an educational pamphlet for a low-income area that has a high rate of obesity. What should the nurse include as recommended actions for a family with a child who has been diagnosed with obesity and hyperlipidemia?

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

The nurse is assessing a child with a cardiac problem. The child's extremities are cool with thready pulses, and urinary output is diminished. This is most suggestive of which of the following?

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?

Archie who weighs 44 tb has been given an order for amoxilin 500 mg bid to take before a dentist appointment based on his history of infective endocans. The drug test shows that the daily dose of amoecitin is 50 mg/kg/day in two divided doses. What dose in milligrams is safest for this child?