PEDS HESI ANSWERS>NUTC 3916>PEDS HESI ANSWERS
• Child received chemotherapy last week and now has a reduced neutrophil count highest priority for this child is Risk for infection.
• Postural drainage for a child w/
...
PEDS HESI ANSWERS>NUTC 3916>PEDS HESI ANSWERS
• Child received chemotherapy last week and now has a reduced neutrophil count highest priority for this child is Risk for infection.
• Postural drainage for a child w/ Cystic fibrosis is most effective when performed after
nebulization and before meals or at least 1 hr. after eating to prevent N/V.
• The mother reports taking a lot of aspirin during her pregnancy, her 6 month old should be assessed for Reaction to loud noises --to assess for Ototoxicity which diminishes hearing and
tinnitus and vertigo.
• Nurse caring for a restrained child after surgery Remove one restraint at a time to and
provide ROM exercises.
• Order of taking V.S of a 4-month old Respirations, Heart Rate and then rectal temperature.
• Closure of VSD’s prevents oxygenated blood from being shunted from LV to RV. Prevent the
return of oxygenated blood to the lungs.
• A Child w/ Asthma expect intercostal retractions during inspiration. (results from effort to
draw in air into restricted airways)
• CDC MMR vaccine should be given no sooner than 12 months of age, and ideally between
12~15 months of age.
• The most definitive measure of improved nutrition in an infant is by obtaining the child’s Daily
weight.
• Projectile vomiting, which contributes to metabolic acidosis, is a classic sign of Pyloric Stenosis.
• Steatorrhea Fatty, foul smelling stools that float on water (common in children w/ Cystic
Fibrosis).
• 3 week old infant Neonates w/ VSD fatigue quickly during feeding and ingest inadequate amounts. Monitor infant for weight gain, and should have at least 6 wet diapers daily. A one month old—should ingest 2~4 ounces formula per feeding and progress to about 30 ounces per day by 4 months of age. Due to fatigue the infant should rest but be fed at least every 2 hrs to ensure adequate intake. A softer preemie nipple or a nipple w/ larger opening helps to reduce
the sucking effort and energy expenditure, allowing the infant to eat more w/ less effort.
• Surgery is being delayed in an infant w/ undescended testes A trial of (HCG) Human chorionic
gonadotrophic hormone may aid in testicular decent.
• The preschooler’s major stressor concern is for his body integrity, he fears that his “insides will
leak out.”
• School- aged children strive for independence and productivity (Erickson’s Industry vs.
Inferiority) and enjoy individual and group activities related to real life situations such as playing follow-the-leader.
• Discipline guidelines Parental control should be consistent. (clear, reasonable and consistent)
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