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HESI RN Case Study: Congenital heart disease Questions and answers | Latest 2024/25 RATED A+
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HESI RN Case Study: Congenital heart disease Questions and answers | Latest 2024/25 RATED A+
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HESI RN Case Study: Congenital heartdisease Questions and answers | Latest
2024/25 RATED A+
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with
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ventricular septal defect (VSD)? - Tachypnea and grunting with intercostal and subcostal
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retractions.
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The nurse understands that a child is experiencing heart failure when which symptoms are
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found? - -Cool extremities.
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-Peripheral edema. ii
-Nasal Flaring. ii
Which statement by Joan supports Timmy's diagnosis of CHF? - "Timmy never seems to
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get full even when I breastfeed him for a long time."
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What should the nurse include when teaching Timmy's parents about post-procedure
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care? - Explain that they will need to hold Timmy in the prone position after the procedure.
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Which action should the nurse implement? - Notify the cardiologist and do not allow
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Thomas to sign the permit.
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Which nursing intervention must be included in Timmy's plan of care related to this
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diagnosis? - Assess the infant's peripheral pulses and capillary refill time.
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Which response is most important for the nurse to educate the parents about feeding? -
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"Your son will be able to suck more easily and will not be so tired from feeding."
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Which member of the perinatal care team will best be able to assist the nurse? - Certified
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Lactation Consultant (CLC).
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Which measurement will be most useful to evaluate Timmy's response to each feeding
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technique? - SaO2 changes during feeding.
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Which intervention should the nurse implement prior to administering the first dose of
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digoxin (Lanoxin) to Timmy? - Obtain Timmy's apical pulse to determine if it is within the
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guidelines of the written prescription.
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ii Which information should the nurse include when discussing this routine laboratory test? -
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ii iiInstruct the parents to give a regular dose of medication at least 6 hours prior to the test.
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The nurse further educates the parents about the digoxin medication and instructs how to
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administer the medication. Which statement by the parents demonstrates an
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