When auscultating the heart of a 3-year-old girl, you hear an ...

[lunatika]

When auscultating the heart of a 3-year-old girl, you hear an irregular heart beat. You understand that:
 
  a. This is normal for a child under age 4
  b. The heart should have a regular rhythm
  c. This may be caused by anxiety and should be rechecked in 1 hour
  d. This should be rechecked on the following shift

Question 2

Which of the following positions does the nurse use for the child who has just returned to the room from a tonsillectomy?
 
  a. elevated head and legs c. on the back and flat
  b. on the abdomen or side d. on the back or sitting up

[josephsuarez]

Answer to Question 1

B
A child of 3 should have a regular rhythm. An irregular heart rhythm should be reported to the nurse in charge immediately.

Answer to Question 2

B

Feedback
A Incorrect. Postoperatively, the nurse does not position the child so that head and legs are elevated.
B Correct. Postoperatively, the child is positioned on their side to facilitate drainage of secretions. Once fully awakened, the child may sit up if so desired.
C Incorrect. Postoperatively, the nurse does not position the child so that they are on their back and flat.
D Incorrect. Postoperatively, the nurse does not position the child so that they are on their back or sitting up.

[lunatika]

Gracias!

[FergA]

TYSM