A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?- Skildor

Question 1 of 5

A 6-year-old child is diagnosed with rheumatic fever and demonstrates associated chorea (sudden aimless movements of the arms and legs). Which information should the nurse provide to the parents?

A. Muscle tension decreases with fine motor skill projects, so these activities should be encouraged. B. The chorea or movements are temporary and will eventually disappear. C. Permanent lifestyle changes are needed to promote safety in the home. D. Consistent discipline is not directly related to controlling the movements.

Correct Answer: B

Rationale: Chorea, or sudden aimless movements associated with rheumatic fever, is temporary in nature and will eventually disappear on its own. It is important for the nurse to reassure the parents that these movements are part of the condition and typically resolve over time without the need for permanent lifestyle changes or strict discipline. Providing accurate information and reassurance to the parents can help alleviate concerns and promote understanding of the condition's course.

Question 2 of 5

Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse to include in the child's plan of care?

A. Monitor serum glucose for adjustment in the infusion rate of regular insulin (Novolin R). B. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N). C. Demonstrate to the parents how to program an insulin pen for daily glucose regulation. D. Consult with the healthcare provider about the use of insulin detemir (Levemir Flex Pen).

Correct Answer: A

Rationale: In managing diabetic ketoacidosis (DKA), monitoring serum glucose levels is crucial to adjust the infusion rate of regular insulin effectively. This helps in controlling blood glucose levels and preventing complications associated with DKA. Close monitoring and adjustments based on glucose levels are essential for the successful management of DKA.

Question 3 of 5

A new mother calls the nurse stating that she wants to start feeding her 6-month-old child something besides breast milk, but is concerned that the infant is too young to start eating solid foods. How should the nurse respond?

A. Advise the mother to wait at least another month before starting any solid foods. B. Instruct the mother to offer a few spoons of 2 or 3 pureed fruits at each meal. C. Reassure the mother that the infant is old enough to eat iron-fortified cereal. D. Encourage the mother to schedule a developmental assessment of the infant.

Correct Answer: C

Rationale: At 6 months, infants are generally ready to start eating iron-fortified cereals as their iron stores begin to deplete. Introducing iron-fortified cereals at this age helps meet the infant's nutritional needs, particularly for iron, which becomes deficient as the infant's iron reserves diminish. It is a safe and appropriate first food to introduce to infants around 6 months of age, along with continued breastfeeding or formula feeding.

Question 4 of 5

Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action should the healthcare provider take?

A. Notify the healthcare provider or anesthesiologist immediately. B. Continue to assess the blood pressure every 5 minutes. C. Place the woman in a lateral position. D. Turn off the continuous epidural.

Correct Answer: C

Rationale: Placing the woman in a lateral position is the appropriate action to improve venous return and cardiac output, helping to stabilize the blood pressure. This position can alleviate pressure on the inferior vena cava, reducing the risk of hypotension associated with epidural anesthesia.

Question 5 of 5

A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the LPN/LVN to ask this client?

A. Which symptom did you experience first? B. Are you eating large amounts of salty foods? C. Have you visited a foreign country recently? D. Do you have a history of rheumatic fever?

Correct Answer: D

Rationale: Rheumatic fever can lead to rheumatic heart disease, which may be exacerbated during pregnancy, causing symptoms like pedal edema and dyspnea.

HESI Maternity Test Bank

Skildor

HESI RN

HESI RN

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