HESI 2023 7th edition PEDS part 1 study guide

When caring for a child with congenital heart disease and polycythemia, which nursing action has the highest priority? - Maintaining adequate hydration The nurse is preparing a teaching plan for the mother of a child who has been diagnosed with celiac disease. Choosing which lunch will be within the therapeutic management of a child with celiac disease? - Baked chicken, coleslaw, soda, and frozen fruit dessert A 7-month-old male infant diagnosed with spastic cerebral palsy is seen by the nurse in the clinic. Which statement by the parent warrants immediate intervention by the nurse? - "My son often chokes while I am feeding him." The nurse is caring for a child with intussusception who is scheduled for a barium enema prior to a surgical procedure. Which action should the nurse take first? - Place the child on a clear liquid diet. The nurse should teach the parents of a child with a cyanotic heart defect to perform which action when a hypercyanotic spell occurs? - Allow the child to assume a knee-chest position, with the head and chest slightly elevated. The nurse is teaching the parents of a 2-year-old child with a congenital heart defect about signs and symptoms of congestive heart failure. Which information about the child is most important for the parents to report to the healthcare provider? - Exhibits a sudden and unexplained weight gain. Prophylactic antibiotics are prescribed for a child who has mitral valve damage. The nurse should advise the parents to give the antibiotics prior to which occurrence? - Urinary catheterization A 7-month-old infant with a rotavirus causing severe diarrhea is admitted for treatment. Which action should the nurse take first? - Insert an intravenous (IV) line and begin IV fluids. The nurse admits a child to the intensive care unit with a possible diagnosis of Wilms tumor. What is the most important safety precaution for child? - Place a do not palpate abdomen sign on head of bed. The nurse is taking the family history of a 2-year-old child with atopic dermatitis (eczema). Which statement by the mother is most important in formulating a plan of care for this child? - "My husband and our daughter are both lactose-intolerant." A mother calls the clinic because her 6-year-old son, who has been taking prescribed antibiotics for 7 of the previous 10 days, continues to have a cough that she reports is worsening. Further questioning by the nurse reveals that the cough is nonproductive. What is the nurse's best instruction to the mother? - Bring the child to the clinic today for an examination related to the cough. The nurse is assessing a male adolescent client's knowledge of contraception. The teen states, "I have all the info I need." What is the best response by the nurse? - "Tell me what you know about birth control." The nurse is examining a male child experiencing an exacerbation of juvenile rheumatoid arthritis (JRA) and notes that mobility is greatly reduced. What is the most likely cause of the child's impaired mobility? - Joint inflammation A father of a 5-year-old calls the nurse to report that his child, who has had an upper respiratory infection, is complaining of a headache, with a rectal temperature of 103°F/39.4°C. Which action has the highest priority? - Tell the parent to take the child to the emergency department. A child comes to the school nurse complaining of itching. Further assessment reveals that the child has impetigo. What action should the nurse take? - Send the child home with the parents to see the healthcare provider before returning to school. An infant is receiving digoxin for congestive heart failure. The apical heart rate is assessed at 80 beats/min. What action should the nurse take first? - Obtain a therapeutic drug level. The nurse is conducting an initial admission assessment of a 12-month-old child in celiac crisis. Which action is most important for the nurse to take first? - Assess the child's mucous membranes and skin turgor. When inserting a nasogastric tube into the stomach of a 3-month-old infant, which action is most important for the nurse to take first? - Monitor the infant's heart rate. The nurse assigns an unlicensed assistive personnel (UAP) to provide morning care to a newly admitted child with bacterial meningitis. What is the most important instruction for the nurse to review with the UAP? - Use designated isolation precautions. The nurse is helping a family prepare to send their 7-year-old child to school for the first time. The child is wheel-chair bound, and has a permanent tracheostomy. What information must the nurse include in the teaching plan for the child? - Place suctioning supplies on the back of the wheelchair when transporting.