When preparing a school-age child and the family for heart ...

[j.rubin]

When preparing a school-age child and the family for heart surgery, the nurse should consider:
 
  a. Not showing unfamiliar equipment.
  b. Letting child hear the sounds of an electrocardiograph monitor.
  c. Avoiding mentioning postoperative discomfort and interventions.
  d. Explaining that an endotracheal tube will not be needed if the surgery goes well.

Question 2

The nurse is evaluating a child who is taking digoxin for her cardiac condition. The nurse is cognizant that a common sign of digoxin toxicity is:
 
  a. Seizures. c. Bradypnea.
  b. Vomiting. d. Tachycardia.

[xoxo123]

Answer to Question 1

ANS: B
The child and family should be exposed to the sights and sounds of the intensive care unit. All positive, nonfrightening aspects of the environment are emphasized. The child should be shown unfamiliar equipment, and its use should be demonstrated on a doll. Carefully prepare the child for the postoperative experience, including intravenous lines, incision, and endotracheal tube.

Answer to Question 2

ANS: B
Vomiting is a common sign of digoxin toxicity. Seizures are not associated with digoxin toxicity. The child will have a slower heart rate, not respiratory rate.

[j.rubin]

Thank you

[xoxo123]

Happy to help you