HESI Nursing Care of Children Exam Latest Update
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A mother brings her 8 mo. old baby boy to clinic bc he has been vomitting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? a. Assess infant abdomen for tend... erness b. Determine if the infant was exposed to a virus c. Measure the infant’s pulse d. Evaluate the infant’s cry 2. While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, thenurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement? a. Inspect the posterior oropharynx b. Assess for teeth clenching or grinding c. Touch the tonsillar pillars to stimulate the gag reflex d. Ask the child to speak to evaluate change in voice tone 3. The parents of a 3-year old boy who has Duchenne muscular dystrophy ask, “How can our son have this disease? We are wondering if we should have any more children.” Whatinformation should the nurse provide to parents? a. This is an inherited X-linked recessive disorder, which primarily affects male children in the family b. The striated muscle groups of males can be impacted by a lack of the proteindystrophin in their mothers c. The male infant had a viral infection that went unnoticed and untreated so muscledamage was incurred d. Birth trauma with a breech vaginal birth causes damage to the spinal cord, thusweakening the muscles [Show More]
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