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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. Application of scented lotions – Incorrect. Scented lotions can irritate the skin and should be avoided.
B. Frequent use of sunscreen – Correct. Sunscreen prevents irritation from sun exposure, which can worsen symptoms.
C. Identification of triggers – Correct. Avoiding allergens or irritants that trigger flare-ups is a key management strategy.
D. Use of topical corticosteroids – Correct. Topical corticosteroids help reduce inflammation and itching.
E. Scrubbing of the affected area – Incorrect. Scrubbing can further irritate the skin and worsen symptoms.
Correct Answer is D
Explanation
A. Requires immediate assessment by a medical provider. – Incorrect. Most cases can be managed at home with barrier creams and frequent diaper changes.
B. Is always associated with an infection. – Incorrect. While infections can occur, diaper dermatitis is often due to moisture and irritation.
C. Causes significant long-term impacts. – Incorrect. Diaper rash typically resolves quickly with proper care.
D. Responds to prompt treatment. – Correct. Keeping the area clean, dry, and applying barrier ointments effectively treats diaper dermatitis.
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