Congenital Heart Disease HESI Case
Study With complete solution 2024/25
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A 4-month-old client is brought to the pediatric emergency department reporting
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that something is just not right with him. They can't really explain it, but they
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recognize that he is just behaving differently. The healthcare provider (HCP)
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completes a thorough assessment and finds that the client is in heart failure (HF)
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and suspects that he has a ventricular septal defect (VSD), a congenital heart
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defect. ii ii ii ii ii ii ii ii ii ii ii ii ii
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with
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ventricular septal defect (VSD)? ii ii ii ii ii ii ii
Tachypnea and grunting with intercostal and subcostal retractions.
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The nurse understands that a child is experiencing heart failure when which symptoms are
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found? ii
Cool extremities
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Peripheral edema
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Nasal Flaring
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Heart failure (HF) in a pediatric client is most often manifested by which symptoms?
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Frequent feedings with irritability and poor suckling.
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The pediatric cardiologist schedules a cardiac catheterization for the next day. The nurse
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prepares the family and the client for the procedure by answering questions that the family
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is asking. ii ii ii ii ii ii ii ii ii ii ii
What should the nurse include when teaching the client's parents about post-procedure
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care? ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Explain that they will need to hold the clients in the prone position after the procedure.
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As the nurse obtains informed consent for the client's cardiac catheterization, The client
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says, "I am still not exactly sure why the doctor has to do the test."
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Which action should the nurse implement?
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Notify the cardiologist and do not allow the parent to sign the permit.
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When preparing the client's nursing care plan, the nurse identifies the priority nursing
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diagnosis as "decreased cardiac output." ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Which nursing intervention must be included in the client's plan of care related to this
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diagnosis? ii ii ii ii ii ii ii
Assess the infant's peripheral pulses and capillary refill.
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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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The client's mother begins to cry and says, "I want my child to be able to have an easier
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time eating, but I think breast milk is best for him. It is more easily digested and contains
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immune properties that he needs. Isn't there anything you can do?" As a client and family
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advocate, the nurse decides to explore the mother's request further since he is not due to
Study With complete solution 2024/25
ii ii ii ii ii ii ii ii ii ii
A 4-month-old client is brought to the pediatric emergency department reporting
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
that something is just not right with him. They can't really explain it, but they
ii ii ii ii ii ii ii ii ii ii ii
recognize that he is just behaving differently. The healthcare provider (HCP)
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
completes a thorough assessment and finds that the client is in heart failure (HF)
ii ii ii ii ii ii ii ii ii ii ii ii ii
and suspects that he has a ventricular septal defect (VSD), a congenital heart
ii
defect. ii ii ii ii ii ii ii ii ii ii ii ii ii
Which clinical manifestations would the nurse expect to assess in an infant diagnosed with
ii ii ii ii
ventricular septal defect (VSD)? ii ii ii ii ii ii ii
Tachypnea and grunting with intercostal and subcostal retractions.
ii ii ii ii ii ii ii ii ii ii ii ii ii
The nurse understands that a child is experiencing heart failure when which symptoms are
ii
found? ii
Cool extremities
ii
Peripheral edema
ii
Nasal Flaring
ii ii ii ii ii ii ii ii ii ii ii ii ii
Heart failure (HF) in a pediatric client is most often manifested by which symptoms?
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Frequent feedings with irritability and poor suckling.
ii ii ii ii ii ii ii ii ii ii ii ii
The pediatric cardiologist schedules a cardiac catheterization for the next day. The nurse
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
prepares the family and the client for the procedure by answering questions that the family
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is asking. ii ii ii ii ii ii ii ii ii ii ii
What should the nurse include when teaching the client's parents about post-procedure
ii
care? ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Explain that they will need to hold the clients in the prone position after the procedure.
ii ii ii ii ii ii ii ii ii ii ii ii
As the nurse obtains informed consent for the client's cardiac catheterization, The client
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says, "I am still not exactly sure why the doctor has to do the test."
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Which action should the nurse implement?
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Notify the cardiologist and do not allow the parent to sign the permit.
ii ii ii ii ii ii ii ii ii ii ii ii
When preparing the client's nursing care plan, the nurse identifies the priority nursing
ii ii ii ii ii
diagnosis as "decreased cardiac output." ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Which nursing intervention must be included in the client's plan of care related to this
ii
diagnosis? ii ii ii ii ii ii ii
Assess the infant's peripheral pulses and capillary refill.
ii ii ii ii ii ii ii ii ii ii ii ii ii
Which response is most important for the nurse to educate the parents about feeding?
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
"Your son will be able to suck more easily and will not be so tired from feeding."
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
The client's mother begins to cry and says, "I want my child to be able to have an easier
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
time eating, but I think breast milk is best for him. It is more easily digested and contains
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
immune properties that he needs. Isn't there anything you can do?" As a client and family
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
advocate, the nurse decides to explore the mother's request further since he is not due to
