A 9-year-old child with a history of type 1 diabetes is brought to the clinic for a check-up. The nurse notes that the child's hemoglobin A1c is 8.5%. What is the most appropriate action for the nurse to take?- Skildor

Question 1 of 5

A 9-year-old child with a history of type 1 diabetes is brought to the clinic for a check-up. The nurse notes that the child's hemoglobin A1c is 8.5%. What is the most appropriate action for the nurse to take?

A. Increase the child's insulin dose B. Review the child's dietary habits and insulin administration technique C. Discuss the possibility of switching to oral hypoglycemics D. Schedule a follow-up appointment in three months

Correct Answer: B

Rationale: A hemoglobin A1c of 8.5% indicates suboptimal diabetes control. The most appropriate action for the nurse in this scenario is to review the child's dietary habits and insulin administration technique. This approach can help identify potential areas for improvement and optimize diabetes management, aiming to lower the hemoglobin A1c levels towards the target range. Increasing the child's insulin dose (Choice A) without addressing dietary habits and administration technique may not lead to better control and can increase the risk of hypoglycemia. Switching to oral hypoglycemics (Choice C) is not appropriate for type 1 diabetes management. Scheduling a follow-up appointment in three months (Choice D) without intervening to improve diabetes control is not the best immediate action.

Question 2 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. Permanent lifestyle changes need to be made to promote safety in the home B. The chorea or movements are temporary and will eventually disappear C. Muscle tension is decreased with fine motor project skills, so these activities should be encouraged D. Consistent discipline is needed to help the child control the movements

Correct Answer: C

Rationale: Chorea associated with rheumatic fever is usually temporary and will subside over time.

Question 3 of 5

Which statement by a school-aged client going to summer camp indicates the best understanding of the mode of transmission of Lyme disease?

A. I'll cover my mouth with a wet cloth if there's too much dust blowing. B. Cuts and scrapes need to be washed out and covered right away. C. I'm not going to swim where the water is standing still or feels too hot. D. I have to wear long sleeves and pants when we're hiking around the pond.

Correct Answer: D

Rationale: The correct answer is D. Wearing long sleeves and pants is an effective measure to prevent tick bites, which can transmit Lyme disease. Ticks are commonly found in wooded areas and tall grass, so covering exposed skin helps reduce the risk of tick bites and subsequently lowers the risk of contracting Lyme disease. Choices A, B, and C do not directly address the mode of transmission of Lyme disease. Option A pertains to respiratory protection against dust, Option B focuses on wound care, and Option C relates to water safety, none of which are directly related to preventing Lyme disease transmission.

Question 4 of 5

When reinforcing teaching with the parents of a 7-year-old child with attention-deficit/hyperactivity disorder (ADHD) about the child's medication, which statement by the parents indicates an understanding of the medication's side effects?

A. We should monitor our child's growth and appetite regularly. B. The medication may cause drowsiness, so we will give it at bedtime. C. We need to give the medication with food to avoid stomach upset. D. The medication can cause increased urination, so fluid intake should be limited.

Correct Answer: A

Rationale: The correct answer is A: 'We should monitor our child's growth and appetite regularly.' Correct monitoring of the child's growth and appetite is crucial when a child is on ADHD medications, especially stimulants, as these medications can have side effects related to growth and appetite. Monitoring these parameters regularly helps in assessing the medication's impact and making any necessary adjustments. Choices B, C, and D are incorrect: B talks about drowsiness, C mentions avoiding stomach upset, and D refers to increased urination and limiting fluid intake. While these are potential side effects of medications, they do not directly address the importance of monitoring growth and appetite, which is crucial in children on ADHD medications.

Question 5 of 5

The nurse is conducting an admission assessment of an 11-month-old infant with CHF who is scheduled for repair of restenosis of coarctation of the aorta that was repaired 4 days after birth. Findings include blood pressure higher in the arms than the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. What pathophysiologic mechanisms support these findings?

A. The aortic semilunar valve obstructs blood flow into the systemic circulation B. The lumen of the aorta reduces the volume of the blood flow to the lower extremities C. The pulmonic valve prevents adequate blood volume into the pulmonary circulation D. An opening in the atrial septum causes a murmur due to a turbulent left to right shunt

Correct Answer: B

Rationale: The findings are consistent with coarctation of the aorta, where narrowing of the aorta leads to decreased blood flow to the lower extremities. This results in higher blood pressure in the arms compared to the lower extremities, pounding brachial pulses, and slightly palpable femoral pulses. Choices A, C, and D are incorrect because they do not align with the pathophysiological mechanisms of coarctation of the aorta, which specifically involves narrowing of the aortic lumen reducing blood flow to the lower extremities.

Pediatric HESI Quizlet

Skildor

HESI RN

HESI RN

Pediatric HESI Quizlet Questions

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