This topic contains a solution. Click here to go to the answer

Author Question: A nurse notes that a child's chart describes a heave. Which assessment should the nurse perform to ... (Read 94 times)

jman1234

  • Hero Member
  • *****
  • Posts: 560
A nurse notes that a child's chart describes a heave. Which assessment should the nurse perform to correlate with this finding?
 
  A.
  Assess for nausea.
  B.
  Auscultate for heart sounds.
  C.
  Listen to lung sounds.
  D.
  Review the last ECG

Question 2

A child has had a closure device inserted in interventional radiology for an atrial septal defect (ASD). Two hours later the child is pale, tachycardic, and hypotensive. Which action by the nurse takes priority?
 
  A.
  Administer a beta blocker to slow the heart rate down.
  B.
  Document findings then notify the health-care provider.
  C.
  Increase the rate of the IV fluid administration.
  D.
  Prepare the child to return to interventional radiology.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

InfiniteSteez

  • Sr. Member
  • ****
  • Posts: 340
Answer to Question 1

ANS: B
A heave is an abnormal tremor that accompanies a vascular or cardiac murmur, so the nurse would listen to heart sounds. Lung sounds and ECGs are not directly related to a heave. Nausea is not related at all.

Answer to Question 2

ANS: D
Complications from insertion of closure devices include bleeding, cardiac tamponade, or migration of the device. The provider needs to be notified stat, and the child prepared to return to the interventional radiology suite. A beta blocker is inappropriate in this setting. The nurse should notify the provider and obtain orders prior to changing IV fluid rates. Documentation needs to be thorough, but should wait until after the provider is notified.




jman1234

  • Member
  • Posts: 560
Reply 2 on: Jun 28, 2018
:D TYSM


Jossy

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

Elderly adults are living longer, and causes of death are shifting. At the same time, autopsy rates are at or near their lowest in history.

Did you know?

The newest statin drug, rosuvastatin, has been called a superstatin because it appears to reduce LDL cholesterol to a greater degree than the other approved statin drugs.

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

All patients with hyperparathyroidism will develop osteoporosis. The parathyroid glands maintain blood calcium within the normal range. All patients with this disease will continue to lose calcium from their bones every day, and there is no way to prevent the development of osteoporosis as a result.

For a complete list of videos, visit our video library