Author Question: The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse ... (Read 59 times)

geodog55 · **on:** Jun 28, 2018

The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk exists of cerebrovascular accidents (strokes). Which is an important objective to decrease this risk?

a. Minimize seizures.
b. Prevent dehydration.
c. Promote cardiac output.
d. Reduce energy expenditure.

Question 2

As part of the treatment for heart failure, the child takes the diuretic furosemide (Lasix). As part of teaching home care, the nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables.

These foods are recommended because they are high in:
a. chlorides.
b. potassium.
c. sodium.
d. vitamins.

k2629 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
In children with persistent hypoxia, polycythemia develops. Dehydration must be prevented in hypoxemic children because it potentiates the risk of strokes. Minimizing seizures, promoting cardiac output, and reducing energy expenditure will not reduce the risk of cerebrovascular accidents.

Answer to Question 2

ANS: B
Diuretics that work on the proximal and distal renal tubules contribute to increased losses of potassium. The child's diet should be supplemented with this electrolyte. With this type of diuretic, potassium must be monitored and supplemented as needed.