HESI RN Congenital Heart Disease – Peds UPDATED ACTUAL Questions and CORRECT Answers
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Course
HESI RN Congenital Heart Disease
Institution
HESI RN Congenital Heart Disease
HESI RN Congenital Heart Disease – Peds
UPDATED ACTUAL Questions and
CORRECT Answers
Meet the Client: Timmy HartsellJoan and Thomas Hartsell bring their 4-month-old son
Timmy to the pediatric emergency department reporting that something is just not right with
him. They can't really expla...
HESI RN Congenital Heart Disease – Peds
UPDATED ACTUAL Questions and
CORRECT Answers
Meet the Client: Timmy HartsellJoan and Thomas Hartsell bring their 4-month-old son
Timmy to the pediatric emergency department reporting that something is just not right with
him. They can't really explain it, but they recognize that Timmy is just behaving differently.
The healthcare provider (HCP) completes a thorough assessment and finds that Timmy is in
congestive heart failure (CHF) and suspects that he has a ventricular septal defect (VSD), a
congenital heart defect. - CORRECT ANSWER✔✔-
Timmy is admitted to the pediatric unit for treatment of CHF and is to be seen by a pediatric
cardiologist for further cardiac assessment. The nurse interviews Joan and Thomas and
completes Timmy's admission assessment.
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with
ventricular septal defect (VSD)? - CORRECT ANSWER✔✔- Tachypnea and grunting with
intercostal and subcostal retractions.
These manifestations are due to the increased workload of the heart and fluid buildup in the
lungs.
The nurse understands that a child is experiencing heart failure when which symptoms are
found? - CORRECT ANSWER✔✔- Cool extremities.
The client will have cool extremities due to the heart's inability to pump effectively.
Peripheral edema.
Right-sided heart failure is indicated with edema to the body.
Nasal Flaring.
There will be inadequate oxygenation of the blood.
, The nurse continues Timmy's admission assessment and obtains subjective data from
Timmy's parents concerning his normal routine for feeding, bathing, and playing.
Which statement by Joan supports Timmy's diagnosis of CHF? - CORRECT ANSWER✔✔-
"Timmy never seems to get full even when I breastfeed him for a long time."
One of the earliest signs of CHF in an infant is difficulty eating. Feedings take longer, and
less is consumed while more energy is expended. The infant may appear hungry and irritable
soon after a feeding.
The pediatric cardiologist schedules a cardiac catheterization for the next day. The nurse
prepares the family and the client for the procedure by answering questions that the family is
asking.
What should the nurse include when teaching Timmy's parents about post-procedure care? -
CORRECT ANSWER✔✔- Explain that they will need to hold Timmy in the prone position
after the procedure.
Timmy's leg that will be used as the femoral artery insertion site must be kept straight. The
infant is placed prone in the lap to help keep the leg straight and to prevent hematoma
formation and subsequent hemorrhage.
As the nurse obtains informed consent for Timmy's cardiac catheterization, Thomas says, "I
am still not exactly sure why the doctor has to do the test."
Which action should the nurse implement? - CORRECT ANSWER✔✔- Notify the
cardiologist and do not allow Thomas to sign the permit.
It is the responsibility of the HCP to explain any proposed procedure. The nurse should
ensure that the client has an understanding of the procedure, the risks, and the advantages
before witnessing the client (in this case, the minor's parent) sign the permit.
When preparing Timmy's nursing care plan, the nurse identifies the priority nursing diagnosis
as "decreased cardiac output."
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