MEDICINE 112 HESI_EXAM_PEDIATRIC_II Quality Revision Material for Grade A

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MEDICINE 112 HESI_EXAM_PEDIATRIC_II 2021 | The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling's repeated hospitalizations. Which is the... best response that the nurse should offer? Encourage the mother to have the children visit the hospitalized sibling When planning the care for a child who has had a cleft lip repair, the nurse knows that crying should be minimized because it a. D- Stresses the fracture. Prevention of stress on the lip suture line is essential for optimum healing and the cosmetic appearance of a cleft lip repair. Although crying causes (increased salvation, leads to vomiting, stresses the suture line) these conditions do not create a problem for the child with a cleft lip repair The nurse assigning care for a 5-year-old child with otitis media is concerned about the child's increasing temperature over the past 24 hours. Which statement is accurate and should be considered when planning care for the remainder of the shift? Tympanic and oral temperatures are equally accurate. A 2-year-old child with gastro-esophageal reflux has developed a fear of eating. What instruction should the nurse include in the parents' teaching plan? Consistently follow a set mealtime routine. a 6- year old admitted to the pediatric unit after falling of a bicycle. Which intervention should the nurse implement to assist the child's adjustments to hospitalization? A 5 month old is admitted to the hospital with vomiting and diarrhea. The pediatrician prescribes dextrose 5% and 0.25% normal saline with 2 mEq KCL/100 ml to be infused at 25 ml/hour. Prior to initiating the infusion, the nurse should obtain which assessment finding? All of the following interventions can be used to evaluate the effectiveness of nursing and medical interventions used to treat diarrhea. Which intervention is least useful in the nurse's evaluation of a 20 month old child? A 3 week old newborn is brought to the clinic for a follow up after a home birth. The mother reports that her child bottle feeds for 5 min only and falls asleep. The nurse auscultates a loud murmur characteristic of a ventricular septal defect (VSD), and finds the newborn is acyanotic with respiratory rate of 64 breaths per min. What instruction should the nurse provide the mother to ensure the infant is receiving adequate intake? (Select all that apply) The nurse is teaching a mother to give 4 mL of a liquid antibiotic to a 10 month old infant. Which statement by the parent indicates a need for further teaching? A 14 yr old female client tells the nurse that she is concerned about the acne she has recently developed/ Which recommendation should the nurse provide? What preoperative nursing intervention should be included in the plan of care for an infant with pyloric stenosis? Observe for projectile vomiting. The nurse is assessing a 2-year-old. What behavior indicates that the child's language development is within normal limits? Half of child's speech is understandable. The nurse receives a lab report stating a child with asthma has a theophylline level of 15 mcg/dl. What action will the nurse take? Pass the information on in the report. A 4-year-old girl continues to interrupt her mother during a routine clinic visit. The mother appears irritated with the child and asks the nurse, "Is this normal behavior for a child this age?" The nurse's response should be based on which information? Children need to retain a sense of initiative without impinging on the rights and privileges of others. A 6-month-old infant with congestive heart failure (CHF) is receiving digoxin elixir. Which observation by the nurse warrants immediate intervention? Apical heart rate of 60. Which restraint should be used for a toddler after a cleft palate repair? a. Elbow a.i. Elbow restraints prevent children from bending their arms and brining their hands to the oral surgical site, (A) restrains the hands but the child can bend and bring their head to their ands. (B) is used during procedures (mummy). (D)-jacket, restrains the body torso and is not appropriate When taking the health history of a child, the nurse knows that which finding is an early indication of hypothyroidism in children? Cessation of growth in a child that had been normal. The mother of a preschool-aged child asks the nurse if it is all right to administer Pepto Bismol to her son when he "has a tummy ache." After reminding the mother to check the label of all over-the-counter drugs for the presence of aspirin, which instruc Do not give if the child has chickenpox, the flu, or any other viral illness. The mother of a 4-year-old child asks the nurse what she can do to help her other children cope with their sibling's hospitalizations. Which is the best response that the nurse should offer? The nurse is giving preoperative instruction to a 14-year-old female client who is scheduled for surgery to correct a spinal curvature. Which statement by the client best demonstrates that learning has taken place? The nurse is assessing the neurovascular status of a child in Russell's traction. Which finding should the nurse report to the healthcare provider? a. A- Pale bluish coloration of the toes a.i. Russell's skin traction is used for fractures of the femur in young children and adolescents whose growth plates remain open and is applied to the lower leg using moleskin and elastic wrap bandages, which can compress the perineal nerve and arteries that supply the foot. Assessment of adequate circulation, movement, & sensation of the toes and skin distal to the application is make to identify compromised blood flow, so cyanosis should be reported immediately A 2-year-old child recently diagnosed with hemophilia A is discharged home. What information should the nurse include in a teaching plan about home care? Apply pressure and ice for bleeding while elevating and resting the extremity. The nurse reviews the latest laboratory results for a child who received chemotherapy last week and identifies a reduced neutrophil count. Which nursing diagnosis has the highest priority for this child? 1. less commonly, pleural biopsy Medical management • The objectives of treatment are to: 1. discover the underlying condition causing the pleurisy 2. relieve the pain • Treatment of underlying cause • Analgesics: NSAIDS e.g. Indomethacin (Indocin) preferred • Topical applications of heat or cold provide symptomatic relief. • If the pain is severe, an intercostal nerve block may be required. [Show More]

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