Pediatric Nursing Demystified

(^100) Pediatric Nursing Demystified

1. Beverly, age 5, is scheduled for a cardiac catheterization. What behavior would be
   appropriate for to do when teaching preoperatively?
   a. Direct teaching to her parents because she is too young to understand.
   b. Blend your approach to her level of development so that she can understand.
   c. Teach parent and Beverly several days before the procedure so they will be prepared.
   d. Give exact details of all the procedures so she will know what to expect.
   Answer:


2. After cardiac catheterization, the nurse monitors the child’s vital signs. The heart rate
   should be counted for how many seconds?
   a. 15
   b. 30
   c. 60
   d. 120
   Answer:

✔ ROUTINE CHECKUP 1

Ventricular Septal Defect

What Went Wrong?

A ventricular septal defect (VSD) is an abnormal opening causing complications

between the right and left ventricles. The defect may vary in size from a pinhole

to the actual absence of the septum.

Signs and Symptoms

Blood flows from the left ventricle into the pulmonary artery.

Increased pulmonary blood flow and increased pulmonary resistance.

CHF.

In severe cases, patient may develop Eisenmenger syndrome.

Test Results

Cardiac catheterization: Catheters are inserted into the heart via a large

peripheral vein and advanced into the heart to measure pressures and

3

2

1

• Explain procedures and equipment to caregivers.


• Encourage caregivers to ask questions.


• Involve child life specialist and social services in the care to support
  the child and family.