A nurse is assigned to care for an infant with an unrepaired ...

[D2AR0N]

A nurse is assigned to care for an infant with an unrepaired tetralogy of Fallot. What should the nurse do first when the baby is crying and becomes severely cyanotic?
 
  a. Place the infant in a knee-chest position.
  b. Administer oxygen.
  c. Administer morphine sulfate.
  d. Notify the physician.

Question 2

Which should the nurse include in discharge teaching for the child with a cardiac arrhythmia?
 
  a. CPR instructions
  b. Repeating digoxin if the child vomits
  c. Resting if dizziness occurs
  d. Checking the child's pulse after digoxin administration

[tsternbergh47]

Answer to Question 1

A
Placing the infant in a knee-chest position will decrease venous return so that smaller amounts of highly saturated blood reach the heart. Administering oxygen is indicated after placing the infant in a knee-chest position. Administering morphine sulfate calms the infant. It is indicated after the infant has been placed in a knee-chest position. The physician should be notified after the infant has been placed in a knee-chest position.

Answer to Question 2

A
The parents and significant others in the child's life should have CPR training. The digoxin dose is not repeated if the child vomits. Dizziness is a symptom the child should be taught to report to adults so the physician can be notified. The child's pulse should be counted before the medication is given. The dose is withheld if the pulse is below the parameters set by the physician.