A child is suspected of having neurally mediated syncope. Which ...

[Diane]

A child is suspected of having neurally mediated syncope. Which diagnostic test does the nurse prepare the child for?
 
  A.
  Cerebral angiogram
  B.
  Coronary angiogram
  C.
  Echocardiogram
  D.
  Tilt table test

Question 2

A 12-year-old child has been diagnosed with long QT syndrome. Which teaching by the nurse is most important?
 
  A.
  No driving until rhythm disturbances are controlled for 6 months.
  B.
  Parents and siblings of the child need to be tested for the disorder.
  C.
  The child cannot participate in any contact sports for a year.
  D.
  Watch the child for symptoms of heart failure or infection.

[Zebsrer]

Answer to Question 1

ANS: D
The tilt table test is specific for neurally mediated syncope.

Answer to Question 2

ANS: B
Parents and siblings need to be tested for long QT syndrome as soon as possible. It is true the child has driving restrictions until the rhythm is controlled for 6 months, but for a 12-year old, this is not priority information. Sports may be curtailed until the rhythm is controlled, but there is no specific restriction that lasts for 1 year. Heart failure and infection are not related.