OB/Peds HESI Practice | Questions With 100% Correct Answers | Verified

The RN is monitoring an infant with CHD closely for SSx of HF. The RN should assess the infant for which early sign of HF? 1.Pallor 2.Cough 3.Tachycardia 4.Slow and shallow breathing - 3. tachycardia RATIONALE: HF is the inability of the heart to pump a sufficient amt of blood to meet the O2 and metabolic needs of the body. The early SSx of HF include tachycardia, tachypnea, profuse scalp sweating, fatigue & irritability, sudden weight gain, and resp distress. A cough may occur in HF as a result of mucosal swelling & irritation, but is not an early sign. Pallor may be noted in an infant w/ HF, but is not an early sign. The nurse reviews the laboratory results for a child with a suspected diagnosis of rheumatic fever, knowing that which laboratory study would assist in confirming the diagnosis? 1.Immunoglobulin 2.Red blood cell count 3.White blood cell count 4.Anti-streptolysin O titer - 4. anti-streptolysin O titer RATIONALE: Rheumatic fever is an inflammatory autoimmune disease that affects the CT of the heart, joints, skin (SQ tissues), BV, and CNS. A Dx of rheumatic fever is confirmed by the presence of 2 major manifestations or 1 major and 2 minor manifestations from the Jones criteria. In addition, evidence of a recent strep infection is confirmed by a + anti-streptolysin O titer, streptozyme assay, or anti-DNase B assay. On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease