*NURSING > HESI > NUR 3069/NUR 3069 HESI – PEDIATRIC ADVANCE QUESTIONS AND ANSWERS GRADE A 2020/2021 MIAMI DADE (All)
1A 3. An infant with tetralogy of Fallot becomes acutely cyanotic and hyperpneic. Which action should the nurse implement first? • Provide 100% oxygen by face mask • Administer morphine sulfat... e • Start intravenous fluids • Place the infant in a knee chest position Answer: D An infant with tetralogy of Fallot will become acutely cyanotic and hyperpneic during a hypercyanotic spell (transient exertional tachypnea or “TET” spell), so the nurse should immediately place the infant in a knee chest position(D). The healthcare provider should be notified and (A, B and C) implemented as prescribed. 21. The nurse is evaluating the effects of thyroid therapy used to treat a 5 month old with hypothyroidism. Which behavior indicates that the treatment has been effective? • Laughs readily, turns from back to side • Has strong Moro and tonic neck reflexes • Keep fists clenched, opens hands when grasping an object • Can lift head, but not chest when lying on abdomen [Show More]
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