HESI RN Case Study Congenital Heart
Disease Questions and answers |
Updated 2024/25
Which clinical manifestations should the nurse expect to assess in an infant diagnosed
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with ventricular septal defect (VSD)? - Tachypnea and grunting with intercostal and
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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? (Select all that apply. One, some, or all options may be correct.)
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Select all that apply - Cool extremities., Peripheral edema., 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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What should the nurse include when teaching the client's parents about post-procedure
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care? - Explain that they will need to hold the clients in the prone position after the
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procedure.
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Which action should the nurse implement? - Notify the cardiologist and do not allow the
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parent to sign the permit.
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Which nursing intervention must be included in the client'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 the client'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 to the client? - Obtain the client'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 digoxin and gives instructions about how to
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administer the medication. Which statement by the parents demonstrates an
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Disease Questions and answers |
Updated 2024/25
Which clinical manifestations should the nurse expect to assess in an infant diagnosed
ii ii ii ii ii ii ii ii ii ii ii ii
with ventricular septal defect (VSD)? - Tachypnea and grunting with intercostal and
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
subcostal retractions.
ii ii
The nurse understands that a child is experiencing heart failure when which symptoms are
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
found? (Select all that apply. One, some, or all options may be correct.)
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Select all that apply - Cool extremities., Peripheral edema., Nasal Flaring.
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Heart failure (HF) in a pediatric client is most often manifested by which symptoms? -
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
Frequent feedings with irritability and poor suckling.
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What should the nurse include when teaching the client's parents about post-procedure
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care? - Explain that they will need to hold the clients in the prone position after the
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procedure.
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Which action should the nurse implement? - Notify the cardiologist and do not allow the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
parent to sign the permit.
ii ii ii ii ii
Which nursing intervention must be included in the client's plan of care related to this
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
diagnosis? - Assess the infant's peripheral pulses and capillary refill time.
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? -
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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 the client's response to each feeding
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
technique? - SaO2 changes during feeding.
ii ii ii ii ii ii ii ii
Which intervention should the nurse implement prior to administering the first dose of
ii ii ii ii ii ii ii ii ii ii ii ii ii
digoxin to the client? - Obtain the client's apical pulse to determine if it is within the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
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 digoxin and gives instructions about how to
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administer the medication. Which statement by the parents demonstrates an
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