topbar.asp
 Nursing continuing education $3/hr

Exam & Evaluation (VSD: Effects, Assessment and Treatment)
 
Questions: Please respond to following statements.

1 Ventricular septal defect (VSD) is one of the rarest congenital heart defects.
True     False
2 The shunting of blood from the right side to the left side of the heart is an early occurrence with VSD.
True     False
3 A left to right ventricular shunt is an acyanotic defect.
True     False
4 A large defect between the ventricles allows recirculation of oxygenated blood through the lungs and lung vessels.
True     False
5 Damage to the lung's small vessels from pulmonary hypertension can be easily reversed.
True     False
6 When large VSDs are uncorrected, the resulting pulmonary hypertension can reverse the shunting of blood across the defect, to a "right to left shunt".
True     False
7 When de-oxygenated blood mixes with oxygenated blood in the left ventricle, the result can be a bluish coloration to the skin and lips, known as cyanosis.
True     False
8 Respiratory problems can be important signs of CHF. In the very young child, tachypnea, or a fast respiratory rate, can be defined as greater than 30 breaths per minute.
True     False
9 Additional signs of CHF in the young child can include failure to gain weight, difficulty feeding, and edema that appears first around the face and eyes, and also appears in the hands and feet.
True     False
10 Digoxin (Lanoxin) is a commonly prescribed drug for the medical management of CHF. Digoxin's effect is to decrease the force of the heart muscle's contraction, so it can rest and avoid being more overworked.
True     False
11 It's important to teach parents to count the child's pulse before medicating with digoxin. The normal heart rate for the very young child or baby is over 100 beats per minute
True     False
12 Parents shouldn't be concerned if a child on a digoxin regimen vomits more than once a day, since nausea and vomiting are normal side effects of the drug.
True     False
13 The purpose for diuretics such as Lasix (furosemide) in CHF is to promote excretion of excess fluid, and therefore decrease the workload for the pulmonary system. A side effect of lasix is electrolyte imbalance.
True     False
14 It is common to diagnose ventricular septal defects (VSD) in the first few hours after birth.
True     False
15 With VSD, X-rays, ECGs, echocardiograms, and magnetic resonance imaging (MRI) primarily indicate enlargement of the left side of the heart.
True     False
16 The purpose of PA banding is to significantly increase the flow of blood to the lungs.
True     False
17 Oxygen saturation levels and pressures in the vessels and ventricles are measured by cardiac catheterization. In the young infant with VSD, the oxygen saturation level is higher than normal in the right ventricle.
True     False
Please Evaluate the course. Choose the appropriate button to rate the following.

A The relationship of objectives to the overall purpose/goal of this interactive independent study activity.
Excellent   Very Good   Good   Fair   Poor  
C Rate the effectiveness of the teaching/learning resources used (i.e. text, graphics, animated graphics, video clips, Internet links, Instant Feedback).
Excellent   Very Good   Good   Fair   Poor  
D You are required to spend a total of 180 minutes studying this course, internet links, exam and evaluation. Please confirm by entering the number "180" in this box.
E Please tell us if you required MORE than 180 minutes to complete this course.  If so, how much TOTAL time did you spend?
F Please use this space for comments, or to report technical issues, etc. You can also email us (rnceus@rnceus.com).
G Where did you hear about the RnCeus.com website?
Word of mouth
Search engine
Link from another website
Other: