PEDIATRICS HESI 2023 STUDY GUIDE QUESTIONS AND ANSWERS SOLVED MATERIAL

PEDIATRICS HESI 2023 STUDY GUIDE QUESTIONS AND ANSWERS SOLVED MATERIAL A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? Apical heart rate of 60. Sweating across the forehead. Doesn't suck well. Respiratory rate of 30 breaths per minute. The nurse is teaching the parents of a 5-year-old with cystic fibrosis about respiratory treatments. Which statement indicates to the nurse that the parents understand? Perform postural drainage before starting aerosol therapy. Give respiratory treatments when the child is coughing a lot. Administer aerosol therapy followed by postural drainage before meals. Ensure respiratory therapy is done daily during any respiratory infection. A female teenager is taking oral tetracycline HCL (Achromycin V) for acne vulgaris. What is the most important instruction for the nurse to include in this client's teaching plan? Use sunscreen when lying by the pool. Cleanse the skin at least 4 times a day. Take the medication with a glass of milk. Menstrual periods may become irregular. What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis? Monitor for signs of metabolic acidosis. Estimate the quantity of diarrhea stools. Place in a supine position after feeding. Observe for projectile vomiting. An infant is born with a ventricular septal defect (VSD) and surgery is planned to correct the defect. The nurse recognizes that surgical correction is designed to achieve which outcome? Stop the flow of unoxygenated blood into systemic circulation. Increase the flow of unoxygenated blood to the lungs. Prevent the return of oxygenated blood to the lungs. Reduce peripheral tissue hypoxia and nailbed clubbing A 3-week-old newborn is brought to the clinic for follow-up after a home birth. The mother reports that her child bottle feeds for 5 minutes only and then falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with a respiratory rate of 64 breaths per minute. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply.) A. Monitor the the infant's weight and number of wet diapers per day. B. Increase the infant's intake per feeding by 1 to 2 ounces per week. C. Mix the dose of prophylactic antibiotic in a full bottle of formula. D. Allow the infant to rest and refeed on demand or every 2 hours. E. Use a softer nipple or increase the size of the nipple opening They should be monitored for weight gain and at least 6 wet diapers per day (A). A one-month old infant should ingest 2 to 4 ounces of formula per feeding and progress to about 30 ounces per day by 4-months of age (B) Preoperative nursing care for a child with Wilms' tumor should include which intervention? Gently percuss the abdomen for evidence of trapped air. Observe the abdomen for any noticeable discolorations. Apply cold compresses to the abdomen to reduce edema. Put a sign on the bed reading, "DO NOT PALPATE ABDOMEN."