Peds/OB HESI practice questions and answers complete and correctPeds/OB HESI practice questions and answers complete and correct A h 3-month-old h infant h develops h oral h thrush. h Which h pharmacologic h agent h should h the h nurse h plan h to h ad
Peds/OB HESI practice questions and answers complete and correct A h 3-month-old h infant h develops h oral h thrush. h Which h pharmacologic h agent h should h the h nurse h plan h to h administer h for h treatment h of h this h disorder? h - h correct h answers-Nystatin h (antifungal) Surgery h is h being h delayed h for h an h infant h with h undescended h testes. h In h collaboration h with h the h healthcare h provider h and h the h family, h which h prescription h should h the h nurse h anticipate? h - h correct h answers-A h trial h of h human h chorionic h gonadotrophic h hormone. h [A h trial h of h HCG h (human h chorionic h gonadotrophic h hormone) h may h aid h in h testicular h descent, h but h does h not h replace h surgical h repair h for h true h undescended h testes. h Undescended h testes h (cryptorchidism) h may h be h found h in h the h inguinal h canal h due h to h exaggerated h cremasteric h reflex.] The h nurse h is h teaching h the h parents h of h a h 5-year-old h child h with h cystic h fibrosis h about h respiratory h treatments. h Which h statement h indicates h to h the h nurse h that h the h parents h understand? a. h Perform h postural h drainage h before h starting h the h aerosol h therapy. b. h Give h respiratory h treatments h when h the h child h is h coughing h a h lot. c. h Administer h aerosol h therapy h followed h by h postural h drainage h before h meals. d. h Ensure h respiratory h therapy h is h done h daily h during h any h respiratory h infection. h - h correct h answers-C. h Administer h aerosol h therapy h followed h by h postural h drainage h before h meals. h [Postural h drainage h for h a h child h with h cystic h fibrosis h is h most h effective h when h performed h after h nebulization h and h one h hour h before h meals h and/or h at h least h 2 h hours h after h eating h to h prevent h nausea h and h vomiting h and h potential h aspiration. h Postural h drainage h uses h gravity h to h promote h mucous h removal h after h the h nebulization h treatments h has h liquefied h the h secretions, h therefore h helps h open h the h airways. h Pulmonary h toileting h or h respiratory h treatments h should h be h given h 3 h to h 4 h times h daily.] The h mother h of h a h preschool-aged h child h asks h the h nurse h if h it h is h all h right h to h administer h bismuth h subsalicylate h (Pepto h Bismol, h Bismylate) h to h her h son h when h he h "has h a h tummy h ache." h After h reminding h the h mother h to h check h the h label h of h all h over-the-counter h drugs h for h the h presence h of h aspirin, h which h instruction h should h the h nurse h include h when h replying h to h this h mother's h question? a. h If h the h child's h tongue h darkens, h discontinue h the h Pepto h Bismol h immediately. b. h Do h not h give h if h the h child h has h chickenpox, h the h flu, h or h any h other h viral h illness. c. h Avoid h the h use h of h Pepto h Bismol h until h the h child h is h at h least h 16 h years h old. d. h Pepto h Bismol h may h cause h a h rebound h hyperacidity, h worsening h the h "tummy h ache." h - h correct h answers-b. h Do h not h give h if h the h child h has h chickenpox, h the h flu, h or h any h other h viral h illness. [Pepto h Bismol, h Bismylate h contains h subsalicylate h and h if h used h in h the h presence h of h a h viral h illness, h there h is h the h potential h of h developing h Reye's h syndrome, h a h sometimes h fatal h condition h for h children.] The h nurse h is h assessing h an h 8-month-old h child h who h has h a h medical h diagnosis h of h Tetrology h of h Fallot. h Which h symptom h is h this h client h most h likely h to h exhibit? h a. h Bradycardia b. h Machinery h murmur c. h Weak h pedal h pulses d. h Clubbed h fingers h - h correct h answers-d. h Clubbed h fingers [Tetrology h of h Fallot, h a h cyanotic h heart h defect, h causes h clubbing h of h fingers h and h toes h (D) h due h to h tissue h hypoxia. h Tachycardia, h not h (A), h is h a h manifestation h of h congenital h heart h disease. h (B) h is h a h classic h sign h of h ventricular h septal h defect. h (C) h is h characteristic h of h coarctation h of h the h aorta.] During h routine h screening h at h a h school h clinic, h an h otoscope h examination h of h a h child's h ear h reveals h a h tympanic h membrane h that h is h pearly h gray, h slightly h bulging, h and h not h movable. h What h action h should h the h nurse h take h next? a. h No h action h required, h as h this h is h an h expected h finding h for h a h school-aged h child. b. h Ask h the h child h if h he/she h has h had h a h cold, h runny h nose, h or h any h ear h pain h lately. c. h Send h a h note h home h advising h the h parents h to h have h the h child h evaluated h by h a h healthcare h provider h as h soon h as h possible. d. h Call h the h parents h and h have h them h take h the h child h home h from h school h for h the h rest h of h the h day. h - h correct h answers-b. h Ask h the h child h if h he/she h has h had h a h cold, h runny h nose, h or h any h ear h pain h lately. A h female h teenager h is h taking h oral h tetracycline h HCL h (Achromycin h V) h for h acne h vulgaris. h What h is h the h most h important h instruction h for h the h nurse h to h include h in h this h client's h teaching h plan? a. h "Use h sunscreen h when h lying h by h the h pool." b. h "Cleanse h the h skin h at h least h 4 h times h a h day." c. h "Take h the h medication h with h a h glass h of h milk." d. h "Menstrual h periods h may h become h irregular." h - h correct h answers-a. h "Use h sunscreen h when h lying h by h the h pool." [Photosensitivity h is h a h common h side h effect h of h tetracycline h HCL h (Achromycin h V) h therapy. h Severe h sunburn h can h occur h with h minimal h sun h exposure h and h clients h should h be h instructed h to h avoid h sunlight h and h to h use h sunscreen.] At h 8 h a.m. h the h unlicensed h assistive h personnel h (UAP) h informs h the h charge h nurse h that h a h female h adolescent h client h with h acute h glomerulonephritis h has h a h blood h pressure h of h 210/110. h The h 4 h a.m. h blood h pressure h reading h was h 170/88. h The h client h reports h to h the h UAP h that h she h is h upset h because h her h boyfriend h did h not h visit h last h night. h What h action h should h the h nurse h take h first? download for complete and clear document
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