2024 HESI RN EXIT CASE STUDY: CONGENITAL
HEART DISEASE COMPLETE WITH NGN
QUESTIONS AND ANSWERS VERIFIED / A+ GRADE
1.Which clinical manifestations would the nurse expect to
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assess in an infant diagnosed with ventricular septal defect
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(VSD)? ...ANS: Tachypnea and grunting with intercostal and
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subcostal retractions.
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2. The nurse understands that a child is experiencing heart
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failure when which symptoms are found? ...ANS: -Cool
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extremities.
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-Peripheral edema. i
-Nasal Flaring. i
3. Which statement by Joan supports Timmy's diagnosis of
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CHF? ...ANS: "Timmy never seems to get full even when I
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breastfeed him for a long time."
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4. What should the nurse include when teaching Timmy's
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parents about post-procedure care? ...ANS: Explain that they
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will need to hold Timmy in the prone position after the
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procedure.
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5. Which action should the nurse implement? ...ANS: Notify
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the cardiologist and do not allow Thomas to sign the permit.
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, 6. Which nursing intervention must be included in Timmy's
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plan of care related to this diagnosis? ...ANS: Assess the
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infant's peripheral pulses and capillary refill time.
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7. Which response is most important for the nurse to educate
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the parents about feeding? ...ANS: "Your son will be able to
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suck more easily and will not be so tired from feeding."
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8. Which member of the perinatal care team will best be able to
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assist the nurse? ...ANS: Certified Lactation Consultant
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(CLC).
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9. Which measurement will be most useful to evaluate
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Timmy's response to each feeding technique? ...ANS: SaO2
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changes during feeding.
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10. Which intervention should the nurse implement prior to
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administering the first dose of digoxin (Lanoxin) to Timmy?
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...ANS: Obtain Timmy's apical pulse to determine if it is within
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the guidelines of the written prescription.
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11. Which information should the nurse include when
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discussing this routine laboratory test? ...ANS: Instruct the
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parents to give a regular dose of medication at least 6 hours
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prior to the test.
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12. The nurse further educates the parents about the digoxin
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medication and instructs how to administer the medication.
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Which statement by the parents demonstrates an
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