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HESI Pediatric Practice Questions 2023

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1. The nurse is preparing a child with an intussusception for a prescribed barium enema.What is the main purpose of conducting this procedure prior to surgical intervention? A.Evacuate the bowel of... impacted feces. B.Reduce the invaginated bowel segment. C.Locate the presence of diverticula. D.Identify the area of esophageal atresia.: ANS: B Intussusception, an invagination or telescoping of one portion of the intestine into another, causes intestinal obstruction in children (usually occurs between 3 months and 5 years of age). Nonsurgical treatment is attempted with hydrostatic pressure created by barium instillation, which often reduces the area of bowel intussusception (B), thereby negating the need for surgical intervention. A barium enema is likely to cause (A). A barium enema could be used to detect (C), but this is not the reason for its use with intussusception. (D) is not a use for a barium enema. 2. The nurse is teaching an adolescent girl with scoliosis about a Milwaukee brace that her health care provider has prescribed.Which instruction should the nurse provide to this client?2 / 23 A.Remove the brace 1 hour each day for bathing only. B.Remove the brace only for back range-of-motion exercises. C.Wear the brace against the bare skin to ensure a good fit. D.Wearing the brace will cure the spinal curvature.: ANS: A The Milwaukee brace is designed to slow the progression in spinal curvature while the adolescent is growing. The brace should be worn 23 hours a day and removed a total of 1 hour a day for hygiene (A).There are no specific exercises for increasing the range of motion in the back that should be performed (B). A T shirt should be worn next to the body and the brace put on over the T shirt to protect the skin (C). The brace will not cure the spinal curvature (D) but should slow the progression of the scoliosis. [Show More]

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