A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?

Hypotension

Unequal upper and lower extremity pulses

Excessive crying

Diastolic murmur

Answer and Explanation

The Correct Answer is B

A. Hypotension is not typically associated with coarctation of the aorta; it more often leads to hypertension in the upper body.

B. Unequal pulses in the upper and lower extremities are a classic sign of coarctation of the aorta, as the obstruction typically affects blood flow to the lower body.

C. Excessive crying is not a specific indicator of coarctation of the aorta and can occur due to various reasons.

D. A diastolic murmur is not a primary indicator of coarctation of the aorta; it is more associated with other cardiac conditions.

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Correct Answer is A

Explanation

A. Coughing helps to clear mucus from the airways, and suppressing it can lead to complications such as mucus buildup and infection.

B. Antibiotics are not prescribed for viral infections like the common cold unless there is a secondary bacterial infection.

C. Ear pulling may indicate ear discomfort or infection, but it is not a typical response to nasopharyngitis alone.

D. It is normal for young children to have multiple colds per year due to their developing immune systems.

A. "If I don't control my asthma I will miss fewer days of school." B. "Coughing and shortness of breath in the morning can be a sign that my asthma is well controlled." C. "Eliminating allergens that irritate my lungs can help me avoid getting an asthma attack" D. "Even if I control asthma well, I won't be able to participate in sports or physical activities."

Correct Answer is C

Explanation

A. This statement is incorrect; effective asthma management should help the child attend school regularly rather than miss fewer days.

B. Coughing and shortness of breath in the morning usually indicate poor asthma control, not good control.

C. Eliminating allergens that irritate the lungs is an effective strategy for asthma management and prevention of attacks.

D. Proper asthma management should allow participation in physical activities, not exclude the child from them.

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A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?

Nursing Test Bank

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