PEDS Hesi Final Complete Answers

PEDS Hesi Final Complete Answers The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? Ans- Right foot is cool to the touch and appears pale and blanched Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the nurse for this 3 year old child? Ans- Set of cloth and hand puppets An infant with tetralogy of fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? Ans- Place the infant in a knee-chest position A child admitted with diabetic ketoacidosis is demonstrating Kussmaul respirations. The nurse determines that the increased respiratory rate is a compensatory mechanism for which acid base alteration? Ans- Metabolic Acidoses A 7 year old is admitted to the hospital with persistent vomiting, and a nasogastric tube attached to low intermittent suction is applied. Which finding is most important for the nurse to report to the healthcare provider? Ans- Serum potassium of 3.0 mg/dL The nurse is evaluating diet teaching for a client who has nontropical sprue (celiac disease). Choosing which food indicates that the teaching has been effective? Ans- Creamed corn During a well-baby check, the nurse hides a block under the baby's blanket, and the baby looks for the block. Which normal growth and development milestone is the baby developing? Ans- Object Permanence The nurse is measuring he frontal occipital circumference (FOC) of a 3 month old infant, and notes that the FOC has increased 5 inches since birth and the child's head appears large in relation to body size. Which action is most important for the nurse to take next? Ans- Palpate the anterior fontanel for tension and bulging The nurse is preparing a 10 year old with a lacerated forehead for suturing. Both parents and 12 years old sibling are at the child's bedside. Which instruction best supports family? Ans- Please decide who will stay when the healthcare provider begins suturing The nurse is planning for a 5 month old with gastroesophageal reflux disease whose weight has decreased by 3 ounces since the last clinic visit one month ago. To increase caloric intake and decrease vomiting, what instructions should the nurse provide this mother? Ans- Thicken formula with cereal for each feeding While teaching a parenting class to new parents the nurse describes the needs of infants and toddlers regarding discipline and limit setting. What is the most important reason for implementing such parenting behaviors? Ans- They provide the child with a sense of security The parents of a newborn infant with hypospadia are concerned about when the surgical correction should occur. What information should the nurse provide? Ans- Repairs typically should be done before the child is potty trained Which drink choice on a hot day indicates to the nurse that a teenager with sickle cell anemia understands dietary considerations related to the disease? Ans- Lemonade The nurse is assessing an infant with diarrhea and lethargy. Which finding should the nurse identify that is consistent with early dehydration? Ans- Tachycardia While auscultating the lung sounds of a 5 year old Chinese boy who recently completed antibiotic therapy for pneumonia, the nurse notices symmetrical, round, bruise-like blemishes on his chest. What action is best for the nurse to take? Ans- Inquire about the use of alternative methods of treatment A child with acute lymphocytic leukemia (ALL) who is receiving chemotherapy via a subclavian IV infusion, has an oral temperature of 103 degrees. In assessing the IV site, the nurse determines that there are no signs of infection at the site. Which intervention is the most important for the nurse to implement? Ans- Obtain specimen for blood cultures A child who weighs 25 kg is receiving IV ampicillin 300mg/kg/24 hours in equally divided doses every 4 hours. How many mg should the nurse administer to the child for each dose? Ans- 1875mg The nurse is caring for an infant scheduled for reduction of intussusceptions. The day before the scheduled procedures the infant passes a soft-formed brown stool. Which intervention should the nurse implement? Ans- Notify the healthcare provider of the passage of brown stool The mother of a 4 month old asks the nurse to advice in preventing diaper rash. What suggestion should the nurse provide? Ans- Use a barrier cream, such as zinc oxide, which does not have to be completely removed with each diaper change Which statement by a school aged client going o summer camp indicates the best understanding of the mode of transmission of Lyme disease? Ans- I have to wear long sleeves and pants when we're hiking around the pond The nurse is evaluating the effects of thyroid therapy used to treat a 5 month old with hypothyroidism. Which behavior indicates hat the treatment has been effective? Ans- Laughs readily, turns from back to side The HR for a 3 year old with CHF has steadily decreased over the last few hours, now is 76 bpm, the previous reading 4 hours ago was 110 bpm. Which additional finding should be reported immediately to a healthcare provider? Ans- BP 70/40 2 year old is admitted to the hospital with possible encehalitis, and a lumbar puncture is scheduled. Which information should the nurse provide this child concerning the procedure? Ans- Describe he sidelying, knees to chest position that must be assumed during the proceudure The parents of a 3 year old boy who has Duschenne muscular dystrophy ask "how can our son have this disease? We are wondering if we should have any more children" What information should the nurse provide these parents? Ans- This is an inherited X-linked recessive disorder, which primarily affects male children in the family The nurse finds a 6 month old infant unresponsive and calls for help. After opening the airway and finding the XXXX the infant is still not breathing. Which action should the nurse take? Ans- Give two breaths that makes the chest rise A 3 year old with HIV infection is staying with a foster family who is caring for 3 other foster children in their home. When one of the children acquires pertussis, the foster mother calls the clinic and asks then nurse what she should do. Which action should the nurse take first? Ans- Review the immunizaiton documentation of the child who has HIV A 16 year old female student with a history of asthma controlled with both an oral antihistamine and an albuterol (Provenfil) metre-dose inhaler (MDI) comes to the school nurse. The student complains that she cannot sleep at night, feels shaky and her heart feels like it is "beating a mile per minute" Which information is most important for the nurse to obtain? Ans- How often the MDI is used daily The nurse is assessing a child for neurological soft signs, which finding is most likely demonstrated in the child's behavior? Ans- Poor coordinatin and sense of position The nurse is assessing an infant with pyloric stenosis. Which pathophysiological mechanism is the most likely consequence of this infant's clinical picture? Ans- Metabolic Alkalosis A month old girl is brought to the clinic by her mother because she has had a cold for 2 to 3 days and woke up this morning with a hacking cough and difficulty breathing. Which additional assessment finding should alert the nurse that the child is in acute respiratory distress? Ans- Flaring of the nares A 2 year old boy begins to cry when the mother starts to leave. What is the nurse's best response to the situation? Ans- let me read this book to you A 2 year old child with HF is admitted for replacement of a graft for coarcion of the aorta. Prior to administering the next dose of digoxin (Lanoxin) the nurse obtains and apical heart rate at 128 bpm. What action should the nurse implement? Ans- Administer the scheduled dose A child with leukemia is admited to chemotherapy and the nursing diagnosis "alered nutrition, less than boy requirements related to anorexia, nausea, and vomiting" is identified. Which intervention the nurse included in this childs plan of care? Ans- Allow the child to eat any food desired and tolerated A 6 year old with asthma is demonstrating a prolonged expiratory phase and wheezing and has a 35% of personal best peak expiratory flow rate (PEFR) based on these findings, what action should the nurse take first? Ans- Administer a prescribed bronchodilator The nurse plans to administer 10 mcg/kg of digoxin elixir as a loading dose to a child who weighs 55 pounds. Digoxin is available as elixer of 50 mcg/ml. How many ml of the digoxin elixer should the nurse administer to this child? Ans- 5 ml The nurse observes a mother giving her 11 month old ferrous sulfate, followed by two ounces of orange juice. What should the nurse do next? Ans- Give positive feedback about the way she administered the sulfate Which nursing intervention is most important to include in the plan of care for a child with acute glomerulonephritis? Ans- Weigh the child daily During a well baby visit the parents explain that the soft bulge appears in the groin of their 4 month old son when he cries or strains with stool. The infant is scheduled for surgical repair of the inguinal hernia in 2 weeks. The parent should be instructed to take which measure if the hernia becomes incarceraed prior to surgery? Ans- Gently manipulate the hernia for reducion