Questions 37

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Pediatric Cardiac Disorders NCLEX Questions Quizlet Questions

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Question 1 of 5

The client is one (1) day postoperative coronary artery bypass surgery. The client complains of chest pain. Which intervention should the nurse implement first?

Correct Answer: B

Rationale: Chest pain post-CABG may indicate complications. Assessing the dressing and vital signs (
B) identifies bleeding or instability. Morphine (
A), repositioning (
C), and telemetry (
D) follow.

Question 2 of 5

The nurse and an unlicensed assistive personnel (UAP) are caring for four clients on a telemetry unit. Which nursing task would be best for the nurse to delegate to the UAP?

Correct Answer: D

Rationale: Positioning for an x-ray (
D) is within the UAP’s scope and safe. Smoking (
A) is inappropriate, ICU transport (
B) requires nursing judgment, and discharge teaching (
C) is a nursing responsibility.

Question 3 of 5

The client diagnosed with pericarditis is experiencing cardiac tamponade. Which collaborative intervention should the nurse anticipate for this client?

Correct Answer: A

Rationale: Cardiac tamponade requires pericardiocentesis (
A) to remove fluid. Enzymes (
B), ECG (
C), and heart/lung sounds (
D) are supportive but not primary.

Question 4 of 5

The client is admitted to the medical unit to rule out carditis. Which question should the nurse ask the client during the admission interview to support this diagnosis?

Correct Answer: B

Rationale: Rheumatic fever (
B) is a major cause of carditis, especially in children, making it the most relevant question. Sore throat (
A) is less specific, family history (
C) is rare, and OTC meds (
D) are unrelated.

Question 5 of 5

The client has an implantable cardioverter defibrillator (ICD). Which discharge instructions should the nurse teach the client?

Correct Answer: C

Rationale: Carrying the cell phone on the opposite side (
C) minimizes electromagnetic interference with the ICD. Lifting limits (
A) are typically 10–15 lbs initially, driving (
B) is restricted temporarily, and microwaves (
D) are safe.

Similar Questions

The client has just returned from a cardiac catheterization. Which assessment data would warrant immediate intervention from the nurse?
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The nurse is assessing the client diagnosed with congestive heart failure. Which laboratory data would indicate that the client is in severe congestive heart failure?
The nurse is administering a calcium channel blocker to the client diagnosed with a myocardial infarction. Which assessment data would cause the nurse to question administering this medication?
The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply.

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