a nurse is caring for a child with a diagnosis of asthma what is an important nursing intervention
Logo

Nursing Elites

HESI LPN

Pediatric HESI Practice Questions

1. When caring for a child diagnosed with asthma, what is an important nursing intervention?

Correct answer: A

Rationale: Administering bronchodilators is a crucial nursing intervention for a child with asthma as it helps to open the airways and improve breathing. Bronchodilators work by relaxing the muscles around the airways, making breathing easier for the child. Encouraging physical activity may exacerbate asthma symptoms in some cases, so it is not recommended as a primary intervention. Monitoring oxygen saturation is important in assessing respiratory status, but administering bronchodilators would take precedence in this situation. Providing nutritional support is a general nursing intervention and not specific to managing asthma symptoms.

2. While assessing a child admitted for an asthma attack, a nurse in the emergency department observes large welts and scars on the child's back. What additional information must be included in the nurse’s assessment?

Correct answer: B

Rationale: The correct answer is B: Signs of child abuse. When a nurse observes large welts and scars on a child, it raises concern for possible child abuse. It is crucial for the nurse to assess further for signs of abuse, document findings, and report appropriately to protect the child. Choice A, history of an injury, is not specific to potential abuse and may not provide insight into the current situation. Choice C, presence of food allergies, is not directly related to the observed welts and scars. Choice D, recent recovery from chickenpox, is also unrelated to the signs of abuse and does not impact the immediate assessment of the child's safety.

3. A 34-year-old woman, who is 36 weeks pregnant, is having a seizure. After you protect her airway and ensure adequate ventilation, you should transport her

Correct answer: A

Rationale: When a pregnant woman experiences a seizure, it is crucial to transport her on her left side. This position helps to improve blood flow to the fetus by preventing compression of the inferior vena cava, reducing the risk of further complications. Placing her in the prone position (lying face down) or supine position (lying on her back) may compromise blood flow to the fetus and lead to adverse outcomes. Similarly, transporting her in a semi-sitting position may not provide the optimal circulation needed for both the woman and the fetus during this critical situation.

4. When evaluating the laboratory report of a 1-year-old infant’s hematocrit, a healthcare provider compares it with the expected hematocrit range for this age group. What is the hematocrit of a healthy 12-month-old infant?

Correct answer: C

Rationale: The correct hematocrit range for a healthy 12-month-old infant is between 37% to 47%. At this age, this range reflects the normal blood volume and red blood cell (RBC) levels in infants. Choice A (19% to 32%) is too low for a healthy hematocrit level in a 12-month-old. Choice B (29% to 41%) is also below the typical range for a 12-month-old. Choice D (42% to 69%) includes an upper limit that is higher than expected for a healthy infant, making it an incorrect option.

5. The nurse is assessing a 4-year-old client. Which finding suggests to the nurse this child may have a genetic disorder?

Correct answer: C

Rationale: Low-set ears with lobe creases are often associated with genetic disorders, such as Down syndrome, and can indicate underlying chromosomal abnormalities. This physical characteristic is a common feature seen in various genetic syndromes. The other choices, including feeding problems, weight and height measurements, and motor skills, are not typically specific indicators of genetic disorders in the absence of other associated features.

Similar Questions

A healthcare provider is assessing a 3-month-old infant with suspected pyloric stenosis. What clinical manifestation is the healthcare provider likely to observe?
A child with a diagnosis of leukemia is admitted to the hospital with a fever. What is the priority nursing intervention?
One principle to be followed for children with type 1 diabetes is to provide for the variability of the child’s activity. What should the nurse teach the child about how to compensate for increased physical activity?
The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?
What factor predisposes the urinary tract to infection in children?

Access More Features

HESI LPN Basic
$69.99/ 30 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

HESI LPN Premium
$149.99/ 90 days

  • 5,000 Questions with answers
  • All HESI courses Coverage
  • 30 days access

Other Courses