Peds AND Maternity HESI | 112 Questions and CORRECT Answers with complete solution/Peds & Maternity HESI

Peds AND Maternity HESI | 112 Questions and CORRECT Answers with complete solution /Peds & Mater nity HESI . BY LW 2 year old is admitted to the hospital with possible encehalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure? - CORRECT ANSWERS -Describe he side -lying, knees to chest position that mus t be assumed during the proceudure A 16 year old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Provenfil) metre -dose inhaler (MDI) comes to the school nurse. The student complains that she cannot slee p at night, feels shaky and her heart feels like it is "beating a mile per minute" Which information is most important for the nurse to obtain? - CORRECT ANSWERS -How often the MDI is used daily A 16 year old male who has been treated in the past for a sei zure disorder is admitted to the hospital. Immediately after admission he begins to have a Grand Mal seizure. Which action should the nurse take? - CORRECT ANSWERS -observe him carefully A 2 year old boy begins to cry when the mother starts to leave. What is the nurse's best response to the situation? - CORRECT ANSWERS -let me read this book to you A 2 year old child with HF is admitted for replacement of a graft for coarcion of the aorta. Prior to administering the next dose of digoxin (Lanoxin) the nurse obtains and apical heart rate at 128 bpm. What action should the nurse implement? - CORRECT ANSWERS -Administer the scheduled dose A 3 year old boy in a daycare facility scratches his head frequently and the nurse confirms the presence of head lice. The nu rse washes the child's hair with permethrin (Nix) shampoo and call his parents. What instructions should the nurse provide to the parents about treatment of head lice? - CORRECT ANSWERS -Wash the child's bed linens and clothing in hot soapy water A 3 year old with HIV infection is staying with a foster family who is caring for 3 other foster children in their home. When one of the children acquires pertussis, the foster mother calls the clinic and asks then nurse what she should do. Which action should the nurse take first? - CORRECT ANSWERS -Review the immunizaiton documentation of the child who has HIV A 6 year old with asthma is demonstrating a prolonged expiratory phase and wheezing and has a 35% of personal best peak expiratory flow rate (PEFR) based on these findings, what action should the nurse take first? - CORRECT ANSWERS -Administer a prescribed bronchodilator A 7 year old child is admitted to the hospital with acute glomerulonephritis (AGN). When obtaining the nursing history which finding should the nurse expect to obtain? - CORRECT ANSWERS -A recent strep throat infection A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for th e nurse to report to the healthcare provider? - CORRECT ANSWERS -Serum potassium of 3.0 mg/dL A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mec hanism for which acid base alteration? - CORRECT ANSWERS -Metabolic Acidoses A child is brought to the clinic complaining of fever and joint pain, and is DX with rheumatic fever. When planning care for this child what is the goal of nursing care? - CORRECT ANSWERS -Prevent cardiac damage A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided doses every 4 hours. How many mg should the nurse administer to the child for each dose? - CORRECT ANSWERS -1875 mg A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there are no signs of infection at the site. Which intervention is the most important for the nurse to implement? - CORRECT ANSWERS -Obtain specimen for blood cultures A child with leukemia is admited to chemotherapy and the nursing diagnosis "alered nutrition, less than boy requirements related to anorexia, nausea, and vomiting" is identified. Which intervention the nurse included in this childs plan of care? - CORRECT ANSWERS -Allow the child to eat any food desired and tolerated A month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress? - CORRECT ANSWERS -Flaring of the nares