Author Question: A child has truncus arteriosus with hypotension and poor perfusion. Which medication does the nurse ... (Read 79 times)

Pineappleeh · **on:** Jun 28, 2018

A child has truncus arteriosus with hypotension and poor perfusion. Which medication does the nurse prepare to administer?

A.
Amiodarone (Cordarone)
B.
Clopidogrel (Plavix)
C.
Dopamine (Intropin)
D.
Isoproterenol (Isuprel)

Question 2

A child has been diagnosed with an atrioventricular canal defect (AVC). While awaiting surgical correction, which teaching takes priority?

A.
Care of tubes and drains postoperatively
B.
Feeding the child frequent, small amounts
C.
Monitoring weight gain and urine output
D.
Returning for all scheduled appointments

juiceman1987 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Drugs used in this condition include preload- and afterload-reducing agents and positive inotropes. Dopamine is a positive inotrope. The other drugs would not be appropriate.

Answer to Question 2

ANS: B
Children with uncorrected AVC have shortness of breath, leading to feeding problems. The parents should be taught to feed the child small amounts frequently to limit dyspnea that may accompany feeding. The child will not go home with drains and tubes postoperatively. Monitoring weight gain and urine output is important for all children with cardiac defects. Returning for appointments is important for all children.