Try Naxlex NCLEX-RN (Free-Trial)

An infant with Tetralogy of Fallot (TOF) is having a hypercyanotic episode. Which nursing interventions should the nurse implement? (Select All that Apply.)

Place the child in knee-chest position.

Administer oxygen.

Administer albuterol as ordered.

Administer morphine sulfate intravenously as ordered.

Draw blood for a serum hemoglobin.

Answer and Explanation

Correct Answer : A,B,D

A. The knee-chest position increases systemic vascular resistance and helps relieve the hypercyanotic episode.

B. Administering oxygen can help improve oxygen saturation and alleviate the cyanosis during a hypercyanotic episode.

C. Albuterol is typically not used for hypercyanotic episodes; it's more useful for bronchodilation in asthma.

D. Morphine sulfate may be used to decrease the respiratory effort and calm the infant during a hypercyanotic episode.

E. Drawing blood for a serum hemoglobin is not an immediate intervention for a hypercyanotic episode. The focus should be on managing the episode itself.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Honey should be avoided in infants under 1 year due to the risk of botulism, but tomatoes and spinach are typically safe.

B. Squash and pork are not common allergens, and tomatoes are usually introduced around 6 months.

C. Strawberries, eggs, and wheat are common allergens and should be introduced cautiously after the first year of life to avoid the risk of an allergic reaction.

D. Carrots and beets are not typically delayed due to allergies, but peanut butter may need to be introduced cautiously.

A. Suction the mouth with an oral suction tube. B. Feed the infant with a spoon for 48 hr. C. Keep the infant supine. D. Apply and release elbow restraints every hour.

Correct Answer is D

Explanation

A. Suctioning should be avoided as it can cause trauma to the surgical site.

B. The infant should be fed with a soft, small spoon or syringe to prevent pressure on the surgical site; feeding with a spoon is generally not recommended for the first 48 hours.

C. The infant should be kept in an upright or semi-upright position to minimize risk of aspiration and promote healing after cleft palate surgery.

D. Elbow restraints should be applied to prevent the infant from touching the surgical site and causing trauma, and they should be removed every hour for assessment.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

An infant with Tetralogy of Fallot (TOF) is having a hypercyanotic episode. Which nursing interventions should the nurse implement? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During a 6-month-old's well child checkup, the nurse discusses introduction of solid foods into the infant's diet. Which foods should the nurse instruct the parents to delay introduction of until after one year of age due to potential allergy development?

Correct Answer is C

Explanation

A nurse is planning care for a 10-month-old infant who is 8 hr postoperative following cleft palate repair. Which of the following interventions should the nurse include in the infant's plan of care?

Correct Answer is D

Explanation

A nurse in an emergency department is assessing a 3-year-old child who has a high fever, severe dyspnea, and is drooling. Which of the following actions is the nurse's priority?

Which immunization will help to prevent epiglottitis in children?

A nurse is teaching a parent of a 6-month-old infant about car seat safety. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is planning care for an infant who has spina bifida and is to undergo surgical closure of the myelomeningocele sac? Which of the following interventions should the nurse include in the plan of care?

A nurse is providing anticipatory guidance to parents who are introducing their child to more solid foods. Which of the following foods should the nurse educate the parents about that increases the risk of foreign body aspiration? (Select All that Apply.)

A nurse in a pediatric clinic is caring for a child who has iron deficiency anemia and a new prescription for ferrous sulfate tablets. Which of the following instructions should the nurse provide the parents regarding administration of this medication?

Parents of a newborn who was diagnosed with Tetralogy of Fallot with pulmonary atresia are preparing to discharge home. The nurse is developing a teaching sheet regarding care of the newborn for the parents. Which information does the nurse need to include in the teaching plan?

A parent questions the nurse about puberty. Which of the following findings will indicate the end of puberty for girls?