the nurse is giving pre op instructions to a 14 yr
which restraint should be used for a toddler after
removing them 1 at a time is safer than all at on
Geschreven voor
HESI Pediatric
HESI Pediatric
Verkoper
Volgen
Ashley96
Ontvangen beoordelingen
Voorbeeld van de inhoud
Hesi
Pediatric
Practice
Exam
The
nurse
is
giving
pre-op
instructions
to
a
14
yr
old
female
scheduled
for
surgery
to
correct
a
spinal
curvature.
Which
stmt
best
demonstrates
that
leaning
has
taken
place?
-
ANS"I
understand
that
I
will
be
in
a
body
cast
and
I
will
show
you
how
you
taught
me
to
turn"
To
take
the
v/s
of
a
4
month
old,
which
ordered
will
give
the
most
accurate
results?
-
ANSRR
-
HR
-
rectal
temp
During
routine
screening
at
a
school
clinic,
an
otoscope
exam
reveals
a
tympanic
mb
that
is
pearly
gray,
slightly
bulging,
and
not
movable.
What
action
should
the
nurse
take
next?
-
ANSAsk
the
child
if
they
have
had
a
cold,
runny
nose,
or
any
ear
pain
lately
Which
restraint
should
be
used
for
a
toddler
after
a
cleft
palate
repair?
-
ANSElbow
What
pre-op
nsg
intervention
should
be
included
in
the
POC
for
an
infant
w/
pyloric
stenosis?
-
ANSObserve
for
projectile
vomiting
(remember
that
projectile
vomiting
leads
to
metabolic
alkalosis)
A
6
month
old
returns
from
surgery
w/
elbow
restraints
in
place.
What
nsg
care
should
be
included
when
caring
for
any
restrained
child?
-
ANSRemove
the
restraints
one
at
a
time
and
provide
ROM
exercises
(Removing
them
1
at
a
time
is
safer
than
all
at
once)
A
2
yr
old
w/
Down
syndrome
is
brought
to
the
clinic
for
his
regular
physical
exam.
The
nurse
knows
which
problem
is
requently
associated
w/
Downs?
-
ANSCongenital
heart
disease
(CHD
is
the
most
common
associated
defect
w/
Downs.
-
also,
remember
Professor
Moore
said
that
heart
and
ear
problems
go
hand
in
hand)
When
assessing
a
child
w/
asthma,
the
nurse
should
expect
intercostal
retractions
during
-
ANSInspriation
When
planning
the
care
for
a
child
who
has
had
a
cleft
lip
repair,
the
nurse
know
that
crying
should
be
minimized
because
it
-
ANSStresses
the
suture
line
A
full-term
infant
is
admitted
to
the
newborn
nursery.
After
careful
assessment,
the
nurse
suspects
that
the
infant
may
have
an
esophageal
atresia.
Which
sx's
is
this
newborn
likely
to
have
exhibited?
-
ANSChoking
,
coughing,
and
cyanosis (this
answer
includes
the
3
"C"s
of
esophageal
atresia
caused
by
the
overflow
of
secretions
to
the
trachea)
Which
behavior
would
the
nurse
expect
a
2
yr
old
to
exhibit?
-
ANSDisplay
possessiveness
of
toys
(they
are
egocentric
and
unable
to
share
w/
others)
the
other
of
a
preschool-aged
child
asks
the
nurse
if
it
is
all
right
to
administer
Pepto
Bismol
to
her
son
when
he
has
a
tummy
ache.
After
reminding
her
to
check
the
label
of
all
OTC
meds
for
the
presence
of
ASA,
which
instruction
should
the
nurse
include
when
replying
to
the
mom's
question?
-
ANSDo
not
give
if
they
have
chicken
pox,
the
flue,
or
any
other
viral
illness
(ASA
can
cause
Reye's
syndrome)
the
nurse
observes
a
4
yr
old
boy
in
a
daycare.
Which
behavior
should
the
nurse
consider
normal
for
this
child?
-
ANSDemonstrates
aggressiveness
by
boasting
when
telling
a
story
A
burned
child
is
brought
to
the
ER.
In
estimating
the
%
of
body
burned,
the
nurse
uses
a
modified
"Rule
of
Nines."
Which
part
of
the
body
is
calculated
as
a
larger
%
of
total
body
surface
than
an
adult?
-
ANSHead
and
neck
(a
child's
head
and
neck
are
proportionately
larger
to
their
body
than
an
adult's)
The
nurse
receives
a
lab
report
stating
a
child
w/
asthma
has
a
theophylline
level
of
15mcg/dL.
What
action
will
the
nurse
take?
-
ANSPass
the
info
on
in
the
report
(therapeutic
level
is
10-20)
A
12
month
old
is
admitted
w/
a
respiratory
infection
and
possible
pneumonia.
He
is
placed
in
a
mist
tent
w/
O2.
Which
nsg
intervention
has
the
greatest
priority?
-
ANSHave
a
bulb
syringe
readily
available
to
remove
secretions
(patent
airway
has
the
highest
priority.
Humidification
will
liquefy
the
nasal
secretions
-
thereby
increasing
the
amt
of
secretions
and
making
that
a
priority)
All
of
the
following
interventions
can
be
used
to
eval
the
effectiveness
of
nsg
and
medical
interventions
used
to
tx
diarrhea.
Which
intervention
is
the
least
useful
in
the
nurse's
eval
of
a
20
month
old
child?
-
ANSAssessing
the
fontanels
(Weighing
diapers,
checking
skin
turgor,
and
observing
mucous
mb's
for
moisture
evaluate
fluid
status
in
infants.
But
how
old
is
this
child?
Posterior
fontanel
closes
at
2
months
and
anterior
closes
by
18
months)
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