RN HESI Obstetrics and Pediatrics Exam 2 | Nurselytic

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RN HESI Obstetrics and Pediatrics Exam 2 Questions

Extract:

A patient's flow chart is as below.
0800
Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%.
Admit to the paediatric floor
Monitor heart rate and oxygen saturation continuously
Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94%
0845
The nurse is reviewing the assessment.


Question 1 of 5

A patient's flow chart is as below. 0800 Patient's vitals: temperature-98.2 degrees Fahrenheit, respiratory rate-47 cycles/min, SpO2-89%. Admit to the paediatric floor Monitor heart rate and oxygen saturation continuously Give oxygen starting at 5 L via face mask, titrate to maintain oxygen saturation at 94% 0845 The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.

Correct Answer: C,D

Rationale: Albuterol and racemic epinephrine are appropriate for treating stridor and respiratory distress in croup, addressing bronchospasm and airway swelling.

Extract:


Question 2 of 5

The nurse is planning care for a 4-year-old girl who is diagnosed as having a developmental disability. What should be thetotle primary focus of treatment for this child?

Correct Answer: D

Rationale: Helping the child achieve her maximum potential focuses on individualized care to optimize development and well-being, addressing her unique abilities and needs.

Question 3 of 5

A child weighing 44 pounds has wrist pain after falling from a skateboard. The healthcare provider prescribes pediatric ibuprofen. After consulting the drug reference material, the nurse knows that the recommended dose range is 5 to 10 mg/kg every 6 to 8 hours for a maximum of 40 mg/kg/day. What is the maximum daily dose for this child? (Enter the numeric value only. If rounding is required, round to the nearest tenth.)

Correct Answer:

Rationale: 44 pounds / 2.2 = 20 kg; Maximum dose = 40 mg/kg/day × 20 kg = 800 mg.

Question 4 of 5

How should the nurse instruct the parents of a 4-month-old with seborrheic dermatitis (cradle cap) to shampoo the child's hair?

Correct Answer: C

Rationale: Using a soft brush to gently scrub the scalp loosens and removes cradle cap scales, preventing buildup while avoiding irritation to the delicate scalp.

Question 5 of 5

A clinic nurse is assessing infants and toddlers for fine and gross motor development. Which child should the nurse refer to a healthcare provider for further evaluation?

Correct Answer: A

Rationale: A 3-year-old preferring to walk on tiptoes may indicate a neurological or musculoskeletal issue, warranting further evaluation, as this is not a typical gait for this age.

Similar Questions

A 3-year-old child was brought into the emergency room this morning with a sudden onset of 'fast and noisy breathing'. According to his parents, he had sneezing and a runny nose last week but seemed to have recovered. The child lives with 2 older, school-age siblings, his parents, and 3 dogs. He was born at 37 weeks' gestation. The parents deny smoking, but his grandmother cares for him in the afternoons and smokes outside when she is at the house. He has no significant medical history. He has received all vaccines except for those due at 3 years. Upon exam, the child is found to have inspiratory stridor and retractions. He had a temperature of 97.7 degrees fahrenheit, a respiratory rate of 56 cycles/min and anSpO2 of 92% on room air. Will admit to the paediatric floor for treatment. The nurse is reviewing the assessment. Based on the child's condition and vital signs following the peripheral intravenous line placement, what medications should the nurse expect the physician to order? Select all that apply.
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