ATI RN
ATI Nur223g Pediatrics Sect 2 Final Exam Questions
Extract:
Received 4-year-old child with an exacerbation of heart failure. Family reports history of congenital mitral stenosis. Breath sounds with wheezing noted in bilateral lower lobes. Nonproductive cough noted. Dyspnea with respiratory rate 30/min. Oxygen at 2 L/min applied per nasal cannula. Telemetry applied: Sinus rhythm @rate 116/min. Abdomen soft, nontender. Bowel sounds positive all 4 quadrants. Lower extremities with 2+ edema noted. Pedal pulses palpable bilaterally. Peripheral saline lock intact to right forearm with no signs and symptoms of infection, Weight 20 kg (44 lb). Increase in dyspnea noted with orthopnea. Nasal flaring with respiratory rate of 36/min. Lung sounds with wheezing noted throughout. Lower extremity edema 3+ to bilateral lower extremities. Extremities cool with decreased skin pigmentation noted. Peripheral pulses weak bilateral. Jugular vein distention noted. Furosemide 40 mg IV every 6 hr. Administered at 1755. Give digoxin 250mcg IV now. Administered at 1800. Give digoxin 125 mcg 12 hr after initial dose. Administered at 0608. Give digoxin 125 mcg 12 hr after second dose. Administered at 1804. Furosemide 10 mg IV now. Administered at 2020.
Question 1 of 5
A nurse on a cardiac care unit is caring for a preschooler. The client is at risk for developing and
Correct Answer: A,C
Rationale: The correct answer is A and C. Preschoolers on a cardiac care unit are often on cardiac medications like digoxin (digitalis) which can lead to digitalis toxicity (
A). This can cause symptoms like vomiting, blurry vision, and irregular heartbeat. Additionally, these patients may have electrolyte imbalances like hypokalemia (
C) due to their condition or medications, which can lead to muscle weakness and cardiac arrhythmias.
Choices B, D, E, F, and G are incorrect as they do not directly relate to the cardiac issues and medications commonly seen in preschoolers on a cardiac care unit.
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Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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