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HESI RN Congenital Heart Disease – Peds Exam Practice Questions and Answers $12.49   Add to cart
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HESI RN Congenital Heart Disease – Peds Exam Practice Questions and Answers
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HESI RN Congenital Heart Disease – Peds Exam Practice Questions and 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 th...

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  • November 4, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • hesi rn congenital heart disease peds exam pract

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  • HESI RN
  • HESI RN

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HESI RN Congenital Heart Disease – Peds

Exam Practice Questions and 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. - 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)? - 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? -

ANSWER✔✔-Cool extremities.




The client will have cool extremities due to the heart's inability to pump effectively.

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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? - 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.




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What should the nurse include when teaching Timmy's parents about post-procedure care? -

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? - 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."




Which nursing intervention must be included in Timmy's plan of care related to this diagnosis? -

ANSWER✔✔-Assess the infant's peripheral pulses and capillary refill time.




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