A newborn child has been diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in this child?

Cyanosis and hypoxia

High-pitched cry and dyspnea

Leg pain and twitching

Epistaxis and anemia

Answer and Explanation

The Correct Answer is A

Choice A rationale
Tetralogy of Fallot is a congenital heart condition that presents with a combination of four defects in the structure of the heart. The most common symptoms in a newborn with this condition include cyanosis (bluish color of the skin due to reduced oxygen in the blood) and hypoxia (low levels of oxygen in the body)34567.
Choice B rationale
While a high-pitched cry can be a sign of distress in a newborn, it is not specifically associated with tetralogy of Fallot. Dyspnea (difficulty breathing) can occur in severe cases, but it is not one of the primary symptoms of this condition.
Choice C rationale
Leg pain and twitching are not typical symptoms of tetralogy of Fallot. These symptoms could be indicative of other conditions, but they are not associated with this specific congenital heart defect.
Choice D rationale
Epistaxis (nosebleeds) and anemia are not typical symptoms of tetralogy of Fallot. While these conditions can occur in children for various reasons, they are not directly related to this specific congenital heart defect.

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Correct Answer is A

Explanation

Choice A rationale
Keeping hands warm and wearing gloves when handling cold objects is one of the most effective ways to manage Raynaud’s disease. Cold temperatures can trigger Raynaud’s attacks, which can cause the fingers to turn white, then blue, and feel cold and numb.
Choice B rationale
While avoiding standing for prolonged periods can be beneficial for certain conditions, it is not specifically related to managing Raynaud’s disease.
Choice C rationale
Regular exercise can help improve circulation, which can be beneficial for people with Raynaud’s disease. However, it’s not as crucial as keeping the hands warm.
Choice D rationale
Regularly returning to the clinic for blood pressure checks is not specifically related to managing Raynaud’s disease. While it’s important for individuals with certain conditions, such as hypertension, to regularly monitor their blood pressure, it’s not a key aspect of managing Raynaud’s disease.

A. On the left side at the midclavicular line, fifth intercostal space. B. Directly over the heart on the sternum. C. On the right side at the midclavicular line, fourth intercostal space. D. At the midaxillary level on the left side.

Correct Answer is A

Explanation

Choice A rationale
The apical pulse, also known as the point of maximal impulse (PMI), is located at the fifth intercostal space at the left midclavicular line. This is the location where the heartbeat is strongest and is the standard location for assessing the apical heart rate.
Choice B rationale
Placing the stethoscope directly over the heart on the sternum is not the standard method for assessing the apical heart rate. While the sternum is close to the heart, it is not the location where the heartbeat is strongest or most easily heard.
Choice C rationale
The right side at the midclavicular line, fourth intercostal space, is not the standard location for assessing the apical heart rate. The heart is located more towards the left side of the chest, and the apical pulse is typically not as easily heard on the right side.
Choice D rationale
The midaxillary line on the left side is not the standard location for assessing the apical heart rate. While this location is on the left side of the chest, it is not where the heartbeat is strongest or most easily heard.

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A newborn child has been diagnosed with tetralogy of Fallot. What symptoms would the nurse expect to observe in this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman has recently been diagnosed with Raynaud’s disease. What important information should the nurse provide to this patient?

Correct Answer is A

Explanation

In the context of interprofessional care of the client and family, where should a nurse position the stethoscope on the chest to assess a client’s apical heart rate?

Correct Answer is A

Explanation

Upon receiving a change-of-shift report about four patients in a heart failure unit, which patient should the nurse prioritize for assessment?

After receiving a change-of-shift report, which patient admitted to the emergency department should the nurse assess first?

Which of the following findings in a patient with Raynaud’s disease would indicate a need for further teaching?

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