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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

Murmur

Bradycardia

Hypotension

Clubbing of the nail beds

Weak pulses

Answer and Explanation

Correct Answer : A,C,E

A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.

B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.

C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.

D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.

E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.

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Correct Answer is D

Explanation

A. "The blood supply to the bone is disrupted." – Incorrect. While fractures can affect blood flow, the main concern with epiphyseal plate fractures is growth impairment.

B. "The younger the child, the longer the healing process will take." – Incorrect. Younger children heal faster than older children or adults due to active bone remodeling.

C. "Bone marrow can be lost through the fracture." – Incorrect. Epiphyseal fractures do not cause bone marrow loss.

D. "Normal bone growth can be affected." – Correct. The epiphyseal plate is responsible for bone growth, and injury to this area can lead to growth disturbances or limb length discrepancies.

A. Glasgow Coma Scale (GCS) assessment B. RBC count C. Cerebrospinal fluid (CSF) analysis D. Magnetic resonance imaging (MRI)

Correct Answer is C

Explanation

A. Glasgow Coma Scale (GCS) assessment. – Incorrect. The GCS assesses neurological function but does not diagnose the underlying cause of symptoms.

B. RBC count. – Incorrect. A complete blood count (CBC) may be helpful, but it does not confirm meningitis.

C. Cerebrospinal fluid (CSF) analysis. – Correct. A lumbar puncture for CSF analysis is the gold standard for diagnosing bacterial or viral meningitis.

D. Magnetic resonance imaging (MRI). – Incorrect. An MRI may be used for complications but is not the initial diagnostic test for suspected meningitis

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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a parent of a child who has a fracture of an epiphyseal plate. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

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Correct Answer is C

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