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Dif cognitive level analyzing ref p 1267 top nursing

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DIF:Cognitive Level: AnalyzingREF:p. 1267TOP:Nursing Process: AssessmentMSC: Client Needs: Physiological Integrity11.What child has a cyanotic congenital heart defect?a.An infant with patent ductus arteriosusb.A 1-year-old infant with atrial septal defectc.A 2-month-old infant with tetralogy of Fallotd.A 6-month-old infant with repaired ventricular septal defectANS: CTetralogy of Fallot is a cyanotic congenital heart defect. Patent ductus arteriosus, atrialseptal defect, and ventricular septal defect are acyanotic congenital heart defects.12.A 1-year-old has been admitted for complete repair of a tetralogy of Fallot. Whatassessment finding should the nurse expect to be documented?a.Weight gainb.Pale skin colorc.Increasing cyanosisd.Decrease in hemoglobin and hematocritANS: CElective repair of tetralogy of Fallot is usually performed in the first year of life.
Indications for repair include increasing cyanosis and the development of hypercyanoticspells. The child would not have a weight gain, pale skin color, or decrease in hemoglobinand hematocrit.53.Kawasaki Disease13.When caring for the child with Kawasaki disease, what should the nurse know to providesafe and effective care?a.Aspirin is contraindicated.b.The principal area of involvement is the joints.c.The child’s fever is usually responsive to antibiotics within 48 hours.d.Therapeutic management includes administration of gamma globulin andsalicylates.ANS: DHigh-dose intravenous gamma globulin and salicylate therapy are indicated to reduce theincidence of coronary artery abnormalities when given within the first 10 days of theillness. Aspirin is part of the therapy. Mucous membranes, conjunctiva, changes in theextremities, and cardiac involvement are seen. The fever of Kawasaki disease isunresponsive to antibiotics. It is responsive to anti-inflammatory doses of aspirin andantipyretics.DIF:Cognitive Level: ApplyingREF:p. 1298TOP:Nursing Process: AssessmentMSC: Client Needs: Physiological Integrity14.Nursing care of the child with Kawasaki disease is challenging because of whichoccurrence?a.The child’s irritabilityb.Predictable disease coursec.Complex antibiotic therapyd.The child’s ongoing requests for foodANS: A
Patient irritability is a hallmark of Kawasaki disease and is the most challenging problem.A quiet environment is necessary to promote rest. The diagnosis is often difficult to make,and the course of the disease can be unpredictable. Intravenous gamma globulin andsalicylates are the therapy of choice, not antibiotics. The child often is reluctant to eat. Softfoods and fluids should be offered to prevent dehydration.15.A child is recovering from Kawasaki disease (KD). The child should be monitored forwhich?
a.Anemiab.Electrocardiograph (ECG) changesc.Elevated white blood cell countd.Decreased plateletsANS: BThe most serious complication of KD is the development of coronary artery aneurysmsand the potential for myocardial infarction in children with aneurysm formation. Thenurse should monitor any ECG changes.

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Term
Spring
Professor
RODRIGUEZ
Tags
Down syndrome, Seizure, plantar reflex, Primitive reflexes

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