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Hesi exit v2 2021.docxHESI EXIT V21. The nurse is caring for a pre-adolescent client in skeletal Dunlop traction. Whichnursing intervention is appropriate for this child?A) Make certain the child is maintained in correct body alignment.B) Be sure the traction weights touch the end of the bed.C) Adjust the head and foot of the bed for the child's comfortD) Release the traction for 15-20 minutes every 6 hours PRN.2. The nurse is assessing a healthy child at the 2 year check up. Which of the followingshould the nurse report immediately to the health care provider?A) Height and weight percentiles vary widelyB) Growth pattern appears to have slowedC) Recumbent and standing height are differentD) Short term weight changes are uneven3. The parents of a 2 year-old child report that he has been holding his breath wheneverhe has temper tantrums. What is the best action by the nurse?A) Teach the parents how to perform cardiopulmonary resuscitationB) Recommend that the parents give in when he holds his breath to prevent anoxiaC) Advise the parents to ignore breath holding because breathing will begin as a reflexD) Instruct the parents on how to reason with the child about possible harmful effects4. The nurse is assessing a client in the emergency room. Which statement suggests thatthe problem is acute angina?A) "My pain is deep in my chest behind my sternum."B) "When I sit up the pain gets worse."C) "As I take a deep breath the pain gets worse."D) "The pain is ...
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