Cardiovascular Health Quiz for Nursing

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Questions and Answers

What is a late sign of compromise in perfusion that indicates underlying issues?

  • Skin pallor
  • High blood pressure
  • Hypotension (correct)
  • Increased heart rate

Which of the following is a critical condition caused by a sudden drop in blood flow?

  • Cardiomyopathy
  • Shock (correct)
  • Hypertension
  • Anemia

What is a common health outcome associated with undiagnosed hypertension in pediatrics?

  • Enhanced growth patterns
  • Poor health outcomes (correct)
  • Increased energy levels
  • Improved cardiovascular function

Which component is primarily involved in ensuring one-way flow of blood through the heart?

<p>Valves (B)</p> Signup and view all the answers

What condition may result from trauma, heatstroke, blood loss, or allergic reactions?

<p>Shock (C)</p> Signup and view all the answers

What type of cardiac defect is characterized by increased pulmonary blood flow?

<p>Atrial septal defect (B)</p> Signup and view all the answers

Which condition is associated with decreased pulmonary blood flow?

<p>Tricuspid atresia (C)</p> Signup and view all the answers

Which type of blood flow defect is Transposition of the great vessels categorized under?

<p>Mixed blood flow defects (D)</p> Signup and view all the answers

What role does prostaglandin E1 play in managing congenital heart defects?

<p>It helps maintain ductus arteriosus patency. (D)</p> Signup and view all the answers

Which condition requires monitoring and nursing care during a cyanotic spell?

<p>Tetralogy of Fallot (B)</p> Signup and view all the answers

What is the nursing role when administering cardiac glycosides in pediatric patients?

<p>To monitor for heart rhythm changes (A)</p> Signup and view all the answers

Which cardiac anomaly is characterized by an obstruction of blood flow?

<p>Pulmonary stenosis (A)</p> Signup and view all the answers

What condition is characterized by an impaired ability to maintain adequate perfusion due to rheumatic heart disease?

<p>Acquired heart disorder (B)</p> Signup and view all the answers

What is a common sign or symptom of cardiogenic shock?

<p>Dyspnea (D)</p> Signup and view all the answers

What physiological change occurs first in a newborn experiencing shock?

<p>Increased blood flow to noncritical areas (C)</p> Signup and view all the answers

Which diagnostic test is specifically used to visualize the heart's structure and assess blood flow?

<p>Echocardiogram (D)</p> Signup and view all the answers

What condition is characterized by narrowing of the aorta, leading to obstructed blood flow?

<p>Coarctation of the aorta (B)</p> Signup and view all the answers

Which statement is true regarding Tetralogy of Fallot?

<p>Cyanosis often persists during the first year of life. (B)</p> Signup and view all the answers

What is a common treatment for patent ductus arteriosus (PDA)?

<p>Indomethacin administration (C)</p> Signup and view all the answers

What does a significant decrease in urine output indicate in a child?

<p>Decreased perfusion of vital organs (C)</p> Signup and view all the answers

Which heart defect leads to a condition known as 'blue spells'?

<p>Tetralogy of Fallot (C)</p> Signup and view all the answers

In obstructive blood flow conditions, which statement is accurate?

<p>Lower extremity perfusion is generally affected while the upper body is spared. (A)</p> Signup and view all the answers

What nursing intervention is critical after cardiac catheterization?

<p>Maintain a straight extremity for 4-8 hours. (C)</p> Signup and view all the answers

Which medication is often administered to manage agents influencing heart function?

<p>Furosemide (C)</p> Signup and view all the answers

Which factor plays a key role in keeping the ductus arteriosus open?

<p>Prostaglandin E1 (D)</p> Signup and view all the answers

What occurs when the pulmonary artery and aorta are transposed?

<p>Oxygenated blood does not flow into systemic circulation. (B)</p> Signup and view all the answers

Which condition is characterized by underdevelopment of the left side of the heart?

<p>Hypoplastic left heart syndrome (D)</p> Signup and view all the answers

What is a possible consequence of untreated pediatric hypertension?

<p>Increased risk of cardiovascular disease (B)</p> Signup and view all the answers

Which statement best describes the role of the layers of blood vessels?

<p>They help manage blood supply and pressure flow through the body. (D)</p> Signup and view all the answers

Which of the following manifestations could indicate shock in a pediatric patient?

<p>Increased respiratory rate (B), Cold extremities (D)</p> Signup and view all the answers

What is an important nursing care consideration for patients with infective endocarditis?

<p>Monitor for signs of valve dysfunction and heart failure. (A)</p> Signup and view all the answers

What may happen if hypotension is not addressed promptly in a pediatric patient?

<p>Potential for irreversible tissue damage. (A), Reduction in blood flow to vital organs. (C)</p> Signup and view all the answers

What are common clinical manifestations associated with alterations in cardiovascular perfusion?

<p>Cyanosis and decreased urine output (B)</p> Signup and view all the answers

Which of the following is a characteristic of obstructive blood flow defects?

<p>Restricted blood flow due to structural abnormalities (D)</p> Signup and view all the answers

Which condition is commonly associated with mixed blood flow defects?

<p>Transposition of the great vessels (A)</p> Signup and view all the answers

What is the primary role of prostaglandin E1 in the context of congenital heart defects?

<p>To maintain patency of the ductus arteriosus (C)</p> Signup and view all the answers

Which nursing intervention is critical after a child undergoes cardiac catheterization?

<p>Maintain proper positioning of the limb used for access (B)</p> Signup and view all the answers

What nursing care is essential for a child experiencing a cyanotic spell?

<p>Administering high-flow oxygen and keeping the child calm (A)</p> Signup and view all the answers

Which statement is accurate regarding nutritional needs in pediatric patients with congenital heart defects?

<p>Increased caloric intake is often necessary due to high metabolic demands. (C)</p> Signup and view all the answers

Which heart defect is characterized by both cyanosis and decreased pulmonary blood flow?

<p>Tricuspid atresia (D)</p> Signup and view all the answers

Which condition is primarily characterized by impaired cardiac function leading to decreased cardiac output?

<p>Cardiogenic shock (C)</p> Signup and view all the answers

What is a common sign associated with increased pulmonary blood flow due to an Atrial Septal Defect?

<p>Harsh, loud murmur (C)</p> Signup and view all the answers

What is the primary treatment goal for managing Tetralogy of Fallot in infants?

<p>Immediate surgical repair (D)</p> Signup and view all the answers

Which symptom suggests the presence of a critical narrowing in the aorta, known as Coarctation?

<p>Cool skin on lower extremities (A)</p> Signup and view all the answers

What physical change occurs first in a newborn experiencing shock?

<p>Decreased blood flow to critical areas (C)</p> Signup and view all the answers

Which diagnostic tool is particularly useful for assessing the contraction and circulation of the heart?

<p>Cardiac catheterization (D)</p> Signup and view all the answers

What is a major complication of cardiac catheterization that nurses should monitor for?

<p>Transient dysrhythmias (A)</p> Signup and view all the answers

Which of the following conditions is associated with significant cyanosis and requires immediate intervention?

<p>Tricuspid Atresia (C)</p> Signup and view all the answers

What nursing intervention should be prioritized in managing a child experiencing TET spells?

<p>Position in knee-to-chest (A)</p> Signup and view all the answers

In which condition can the failure of the foramen ovale to close lead to complications?

<p>Atrial Septal Defect (C)</p> Signup and view all the answers

Which of the following cardiac defects is classified under decreased pulmonary blood flow?

<p>Tetralogy of Fallot (D)</p> Signup and view all the answers

What impact does the increased workload on the left ventricle in Aortic Stenosis typically lead to?

<p>Hypertrophy of heart muscle (D)</p> Signup and view all the answers

What is a recognized indicator for perfusion of vital organs in children?

<p>Urine output (C)</p> Signup and view all the answers

What condition results from the failure to septate the pulmonary artery and aorta during fetal development?

<p>Truncus Arteriosus (C)</p> Signup and view all the answers

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Study Notes

Cardiovascular System Anatomy & Physiology

  • Structures include the heart and blood vessels.
  • Components include layers, chambers, great vessels, valves, blood vessels, and the conduction system.
  • The cardiovascular system manages blood supply, produces blood pressure, ensures one-way flow, and transmits blood.

Alterations in Perfusion

  • Low blood pressure (BP) can lead to poor tissue perfusion and shock.
  • Hypotension is a late sign of compromise.
  • Care and treatment should begin before hypotension develops.
  • Hypertension is often underdiagnosed and can lead to poor health outcomes.

Shock

  • A critical condition caused by a sudden drop in blood flow throughout the body.
  • May result from trauma, heatstroke, blood loss, or an allergic reaction.

Anatomy and Physiology of Cardiovascular System

  • Structures include the heart and blood vessels
    • Layers: Endocardium, myocardium, epicardium
    • Chambers: Right atrium, right ventricle, left atrium, left ventricle
    • Great Vessels: Aorta, pulmonary artery, superior vena cava, inferior vena cava
    • Valves: Atrioventricular valves (tricuspid and mitral), semilunar valves (pulmonary and aortic)
    • Blood Vessels: Arteries, veins, capillaries
    • Conduction System: Sinoatrial node (SA node), atrioventricular node (AV node), bundle of His, Purkinje fibers
  • Functions:
    • Managing blood supply to the body
    • Producing blood pressure to pump blood throughout the body
    • Securing one-way flow of blood through the heart and circulatory system
    • Transmitting blood from the heart to the rest of the body

Alterations in Perfusion

  • Low blood pressure (BP) can lead to poor tissue perfusion and shock.
  • Hypotension is a LATE sign of circulatory compromise, meaning that treatment should begin before hypotension occurs.
  • Hypertension is often underdiagnosed and can lead to poor health outcomes.
  • Shock is a critical condition due to a sudden drop in blood flow through the body.
    • Causes: Trauma, heatstroke, blood loss, allergic reaction.

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