PEDIATRICS HESI WITH QUESTIONS AND WELL DETAILED ANSWERS GRADED A+[ACTUAL EXAM 100%]
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Course
PEDIATRICS HESI
Institution
PEDIATRICS HESI
PEDIATRICS HESI WITH
QUESTIONS AND WELL
DETAILED ANSWERS
GRADED A+[ACTUAL
EXAM 100%]
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
Apical heart rate of 60.
Sweating across the forehe...
PEDIATRICS HESI WITH
QUESTIONS AND WELL
DETAILED ANSWERS
GRADED A+[ACTUAL
EXAM 100%]
A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin
elixir. Which observation by the nurse warrants immediate intervention?
,Apical heart rate of 60.
Sweating across the forehead.
Doesn't suck well.
Respiratory rate of 30 breaths per minute. - ANS✔✔---Apical heart rate of
60.
Postural drainage for a child with cystic fibrosis is most effective when
performed after nebulization and before meals (C) or at least 1 hour after eating
to prevent nausea and vomiting. Postural drainage uses gravity to promote
mucous removal after nebulization (A) treatments which open the airways.
Pulmonary toileting or respiratory treatments should be given 3 to 4 times daily,
not episodically (B and D).
A female teenager is taking oral tetracycline HCL (Achromycin V) for acne
vulgaris. What is the most important instruction for the nurse to include in this
client's teaching plan?
Use sunscreen when lying by the pool.
Cleanse the skin at least 4 times a day.
Take the medication with a glass of milk.
Menstrual periods may become irregular. - ANS✔✔---Use sunscreen when
lying by the pool.
Photosensitivity is a common side effect of tetracycline HCL (Achromycin V)
therapy. Severe sunburn can occur with minimal sun exposure and clients
should be instructed to avoid sunlight and to use sunscreen (A). (B and D) are
not related to tetracycline HCL (Achromycin V) therapy. (C) should be avoided
because dairy products interfere with the absorption of tetracyclines.
,What preoperative nursing intervention should be included in the plan of care for
an infant with pyloric stenosis?
Monitor for signs of metabolic acidosis.
Estimate the quantity of diarrhea stools.
Place in a supine position after feeding.
Observe for projectile vomiting. - ANS✔✔---Observe for projectile vomiting.
A heart rate of 60 (A) is much lower than normal for a 6-month-old and warrants
immediate intervention. The normal heart rate for a 6-month-old is 80 to 150
BPM when awake, and a rate of 70 while sleeping is considered within normal
limits. (B and C) are expected symptoms of heart failure in an infant. (D) is within
normal limits for an infant.
The nurse is teaching the parents of a 5-year-old with cystic fibrosis about
respiratory treatments. Which statement indicates to the nurse that the parents
understand?
Perform postural drainage before starting aerosol therapy.
Give respiratory treatments when the child is coughing a lot.
Administer aerosol therapy followed by postural drainage before meals.
Ensure respiratory therapy is done daily during any respiratory infection. -
ANS✔✔---Administer aerosol therapy followed by postural drainage before
meals.
Projectile vomiting (D), which contributes to metabolic alkalosis (A), is the
classic sign of pyloric stenosis. (B) is not indicated. (C) is dangerous, due to the
potential for aspiration with frequent vomiting.
, .
Closure of VSDs stops oxygenated blood from being shunted from the left
ventricle to the right ventricle (C). VSDs are acyanotic defects, which means that
no unoxygenated blood enters the systemic circulation (A and B). (D) is common
with Tetrology of Fallot, which is a cyanotic defect.
A 3-week-old newborn is brought to the clinic for follow-up after a home birth.
The mother reports that her child bottle feeds for 5 minutes only and then falls
asleep. The nurse auscultates a loud murmur characteristic of a ventricular
septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of
64 breaths per minute. What instruction should the nurse provide the mother to
ensure the infant is receiving adequate intake? (Select all that apply.)
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
C. Mix the dose of prophylactic antibiotic in a full bottle of formula.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening. - ANS✔✔---
A. Monitor the the infant's weight and number of wet diapers per day.
B. Increase the infant's intake per feeding by 1 to 2 ounces per week.
D. Allow the infant to rest and refeed on demand or every 2 hours.
E. Use a softer nipple or increase the size of the nipple opening.
An infant is born with a ventricular septal defect (VSD) and surgery is planned to
correct the defect. The nurse recognizes that surgical correction is designed to
achieve which outcome?
Stop the flow of unoxygenated blood into systemic circulation.
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