RN PEDIATRIC Final Exam With Complete Solution 100% |Guarantee Pass

RN PEDIATRIC Final Exam With Complete Solution 100% |Guarantee Pass The healthcare provider is caring for a child with congenital heart disease. When planning care, monitoring for which of the following complications will be included in the plan of care? a. Bradycardia and hepatomegaly b. Pulmonary hypotension and cyanosis c. Increased pulmonary compliance and cyanosis d. Congestive heart failure and hypoxemia {{Correct Ans- d. The healthcare provider is planning the discharge for a child with a ventricular septal defect. Which of the following is a priority to include in the discharge instructions? a. Provide instructions for a monthly immunoglobulin shot during RSV season. b. Ensure the parents know how to take the child's blood pressure at home. c. Advise the family provide meals that are low in fat and calories. d. Suggest quiet activities for the child to decrease physical activity. {{Correct Ans- a. During an examination of an infant with a patent ductus arteriosus (PDA), the healthcare provider should expect to observe: Choose all answers that apply: A. Profound cyanosis B. Widening pulse pressure C. Systolic murmur D. Bounding peripheral pulses E. Clubbing of fingers and toes {{Correct Ans- b, c, d. A 6-month-old infant who was seen in the Emergency Department with wheezing and coughing is admitted to the pediatric unit with a diagnosis of bronchiolitis. During the admission assessment, which of these will alert the healthcare provider the infant's condition is worsening? a. Respiratory rate of 38 breaths/min b. Decreased inspiratory breath sounds c. Irritability and crying d. Dysphasia and loss of appetite {{Correct Ans- b A 10-month-old infant who was seen in the Emergency Department for respiratory distress is admitted to the pediatric unit with a diagnosis of bronchiolitis. Which of these, if assessed in the infant, alerts the healthcare provider the bronchiolitis is worsening? a. Head bobbing b. Inspiratory stridor c. Drooling d. Pleuritic chest pain {{Correct Ans- a. The parent of an infant newly diagnosed with TOF is asking the nurse which defects are involved. Select all that apply. 1. VSD. 2. Right ventricular hypertrophy. 3. Left ventricular hypertrophy. 4. PS. 5. Pulmonic atresia. 6. Overriding aorta. 7. PDA. {{Correct Ans- 1, 2, 4, 6. An infant with CHF is receiving digoxin to enhance myocardial function. What should the nurse assess prior to administering the medication? 1. Yellow sclera. 2. Apical pulse rate. 3. Cough. 4. Liver function test. {{Correct Ans- 2. Which statement by the mother of an infant boy with CHF who is being sent home on digoxin indicates she needs further education on the care of her child? 1. "I will give him the medication at regular 12-hour intervals." 2. "If he vomits, I will not give him a make-up dose." 3. "If I miss a dose, I will not give an extra dose, but keep him on his same schedule." 4. "I will mix the digoxin in some of his formula to make it taste better for him." {{Correct Ans- 4. A 1-year-old child is being prepared for a cardiac catheterization procedure. Which of the following findings about the child might delay the procedure? 1. 30th percentile for weight. 2. Severe diaper rash. 3. Allergy to soy. 4. Oxygen saturation of 91% on room air. {{Correct Ans- 2 - potential for infection