HESI CASE STUDY: CONGENITAL
HEART DISEASE LATEST UPDATED
EXAM WITH MULTIPLE, CORRECTLY
ANSWERED QUESTIONS |A+ GRADE
Meet the Client: Timmy Hartsell ...ANS: Joan and Thomas Hartsell
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bring their 4-month-old son Timmy to the pediatric emergency
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department reporting that something is just not right with him. They
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can't really explain it, but they recognize that Timmy is just behaving
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differently. The healthcare provider (HCP) completes a thorough
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assessment and finds that Timmy is in congestive heart failure (CHF)
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and suspects that he has a ventricular septal defect (VSD), a
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congenital heart defect.
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Clinical Manifestations ...ANS: Timmy is admitted to the pediatric
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unit for treatment of CHF and is to be seen by a pediatric cardiologist
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for further cardiac assessment. The nurse interviews Joan and
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Thomas and completes Timmy's admission assessment.
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The nurse understands that a child is experiencing heart failure when
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which symptoms are found? ...ANS: -Cool extremities.
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-Peripheral edema. i
-Nasal Flaring. i
Which clinical manifestations would the nurse expect to assess in an
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infant diagnosed with ventricular septal defect (VSD)? ...ANS:
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Tachypnea and grunting with intercostal and subcostal retractions.
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, The nurse continues Timmy's admission assessment and obtains
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subjective data from Timmy's parents concerning his normal routine
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for feeding, bathing, and playing. ...ANS:
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Which statement by Joan supports Timmy's diagnosis of CHF?
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...ANS: "Timmy never seems to get full even when I breastfeed him
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for a long time."
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Diagnostic Tests ...ANS: The pediatric cardiologist schedules a i iiiii iii i i i i
cardiac catheterization for the next day. The nurse prepares the
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family and the client for the procedure by answering questions that
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the family is asking.
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What should the nurse include when teaching Timmy's parents about
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post-procedure care? ...ANS: Explain that they will need to hold
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Timmy on their lap maintaining the leg in a straight position
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As the nurse obtains informed consent for Timmy's cardiac
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catheterization, Thomas says, "I am still not exactly sure why the
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doctor has to do the test." ...ANS:
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Which action should the nurse implement? ...ANS: Notify the
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cardiologist and do not allow Thomas to sign the permit.
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Nursing Diagnoses and Interventions ...ANS: When preparing
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Timmy's nursing care plan, the nurse identifies that priority nursing
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diagnosis as "decreased cardiac output."
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Which nursing intervention must be included in Timmy's plan of care
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related to this diagnosis? ...ANS: Assess the infant's peripheral
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pulses and capillary refill time.
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Joan tells the nurse that Timmy is often irritable and seems hungry all
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the time. Joan and Thomas are concerned that Timmy is losing weight
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