ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 23 : The Child with Cardiovascular Dysfunction Questions
Question 1 of 5
A 2-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the apical pulse is less than which rate?
Correct Answer: B
Rationale: For infants and young children, digoxin is withheld if the 1-minute apical pulse is below 90 beats/min to prevent toxicity. A rate of 60 is the adult threshold, and 100-120 beats/min are acceptable for administration.
Question 2 of 5
What clinical manifestation is a common sign of digoxin toxicity?
Correct Answer: B
Rationale: Vomiting, unrelated to feedings, is a common sign of digoxin toxicity due to its narrow therapeutic range. Seizures are not associated, bradycardia (not bradypnea or tachycardia) may occur, but vomiting is a key indicator.
Question 3 of 5
The parents of a young child with heart failure (HF) tell the nurse that they are nervous about giving digoxin. The nurses response should be based on which knowledge?
Correct Answer: D
Rationale: Digoxin?s narrow therapeutic range requires parents to learn specific guidelines for safe administration and monitoring to prevent toxicity. It?s not inherently safe, parents can be taught, and over- or undermedication is a risk without proper guidance.
Question 4 of 5
What nutritional component should be altered in the infant with heart failure (HF)?
Correct Answer: D
Rationale: Infants with heart failure need increased calories due to elevated metabolic rates from poor cardiac function. Fats and protein should be increased to meet caloric needs, and fluids are carefully monitored to avoid overload.
Question 5 of 5
Decreasing the demands on the heart is a priority in care for the infant with heart failure (HF). In evaluating the infants status, which finding is indicative of achieving this goal?
Correct Answer: C
Rationale: Appropriate weight gain indicates successful feeding and reduced caloric loss, reflecting decreased cardiac demand. Irritability and prolonged capillary refill suggest ongoing HF, and high Fowler positioning aids breathing but doesn?t confirm reduced cardiac strain.