Author Question: What interventions should the nurse anticipate being administered to a child with supraventricular ... (Read 36 times)

jman1234 · **on:** Jun 28, 2018

What interventions should the nurse anticipate being administered to a child with supraventricular tachycardia (SVT)?

a. Bed rest
b. Applying ice to the face
c. Administration of atropine
d. Administration of adenosine (Adenocor)
e. Having the child perform a Valsalva maneuver

Question 2

The nurse is talking to the parent of a 5-year-old child who refuses to go to sleep at night. What intervention should the nurse suggest in helping the parent to cope with this sleep disturbance?

a. Establish a consistent punishment if the child does not go to bed when told.
b. Allow the child to fall asleep in a different room and then gently move the child to his or her bed.
c. Establish limited rituals that signal readiness for bedtime.
d. Allow the child to watch television until almost asleep.

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

Answer to Question 1

ANS: B, D, E
The treatment of SVT depends on the degree of compromise imposed by the dysrhythmia. In some instances, vagal maneuvers, such as applying ice to the face, massaging the carotid artery (on one side of the neck only), or having an older child perform a Valsalva maneuver (e.g., exhaling against a closed glottis, blowing on the thumb as if it were a trumpet for 30 to 60 seconds), can reverse the SVT. When vagal maneuvers fail, adenosine may be used to end the episode of SVT by impairing AV node conduction. IV adenosine is the first-line pharmacologic measure for termination of SVT in infants and children in the emergency setting. Administration of atropine or bed rest will not resolve SVT.

Answer to Question 2

ANS: C
An appropriate intervention for a child who resists going to bed is to establish limited rituals such as a bath or story that signal readiness for bed and consistently follow through with the ritual. Punishing the child will not alleviate the resistance problem and may only add to the frustration. Allowing the child to fall asleep in a different room and to watch television to fall asleep are not recommended approaches to sleep resistance.