ACTUAL RN HESI PEDIATRICS EXAMS (3 VERSIONS) 2023-2024 EACH EXAM CONTAINS 55 QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS)/ PEDIATRICS HESI RN 3 ACTUAL EXAMS (AGRADED)
The nurse is planning postoperative care for a child who has had a cleft lip repair.
What is the most important reason to minimize this child's crying during the
recovery period?
A. Tear formation increases salivation.
B. This behavior increases respirations.
C. Excessive hysteria can lead to vomiting.
D. Crying stresses the suture line - ANSWER-Rationale: choice D
Prevention of stress on the lip suture line is essential for optimum healing and the
cosmetic appearance of a cleft
lip repair. Although crying also causes options A, B, and C, these conditions do not
create a problem for the child
with a cleft lip repair.
An infant is receiving digoxin for congestive heart failure. The apical heart rate is
assessed at 80
beats/min. What intervention should the nurse implement?
A. Call for a portable chest radiograph.
B. Obtain a therapeutic drug level.
C. Reassess the heart rate in 30 minutes.
D. Administer digoxin immune Fab stat. - ANSWER-Rationale:
Answer: D.
Sinus bradycardia (heart rate <90 to 110 beats/min in an infant) is an indication of
digoxin toxicity, so assessment
of the client's digoxin level has the highest priority. Option A is not indicated at
this time. Option C provides
helpful assessment data but does not address the cause of the problem and delays
needed intervention. Option D
is indicated for a serious, life-threatening overdose with digoxin.
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