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A nurse is caring for a 15-year-old adolescent.

Exhibits
Choose words from the choices below to fill in each blank in the following sentence.

The nurse reviews the EMR and determines that the adolescent is at risk for developing which of the following complications?

The adolescent is at risk for developing _ and _

muscle cramps

pneumothorax

dehydration

anemia

Answer and Explanation

Correct Answer : B,C

The adolescent is at risk for developing Target 1: dehydration and Target 2: pneumothorax.

Rationale:

Dehydration: The adolescent's fever, increased respiratory rate, and decreased oral intake put them at risk for dehydration.
Pneumothorax: In severe pneumonia, there is a risk of lung collapse or pneumothorax, especially in adolescents.

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Correct Answer is D

Explanation

A. The ASO titer does not measure therapeutic levels of aminoglycosides; this response is incorrect.

B. The ASO titer is not a direct diagnostic test for rheumatic fever but indicates a recent infection with streptococcal bacteria, which can lead to rheumatic fever.

C. The test does not confirm immunity but rather measures antibodies against streptolysin O, indicating recent infection.

D. An elevated ASO titer confirms that the child had a recent streptococcal infection, which is important in diagnosing rheumatic fever.

A. Decreased blood pressure in the arms with increased blood pressure in the legs B. Increased blood pressure in the arms with decreased blood pressure in the legs C. Decreased blood pressure in both the arms and the legs D. Increased blood pressure in both the arms and the legs

Correct Answer is B

Explanation

A. This option is incorrect as it does not describe the expected blood pressure difference in coarctation of the aorta.

B. Coarctation of the aorta typically presents with higher blood pressure in the upper body (arms) and lower blood pressure in the lower body (legs) due to the obstruction of blood flow distal to the aortic arch.

C. This option is incorrect because while coarctation can lead to decreased perfusion in the lower extremities, it does not typically result in decreased blood pressure in both the arms and legs simultaneously.

D. While increased blood pressure may occur in the arms, the legs would not typically show increased blood pressure in cases of coarctation.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who was admitted with suspected rheumatic fever. The provider prescribes an anti-streptolysin O (ASO) titer. The parent asks the nurse the purpose of the test. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is assessing a newborn who has a coarctation of the aorta. Which of the following should the nurse recognize is a clinical manifestation of coarctation of the aorta?

Correct Answer is B

Explanation

A nurse is providing care to an adolescent client who is hospitalized in an adult setting. Which of the following interventions by the nurse supports a client experiencing emotional and physical changes of puberty? (Select all that apply.)

A nurse is caring for a child who is suspected of having pertussis. The nurse should recognize that the pathophysiology of pertussis includes which of the following? (Select All that Apply.)

A nurse is caring for a pre-school age child who has epiglottitis and presents with a high fever, drooling, and a muffled voice. Which of the following actions should the nurse take?

A nurse is promoting a healthy relationship with food among school-aged children. Which of the following interventions is effective in promoting a healthy relationship?

The nurse is caring for a child with cystic fibrosis. What is the rationale for the nurse performing chest physiotherapy for this child?

The nurse is caring for a nine-year-old client on the pediatric unit. What is the most effective way for the nurse to support this child in achieving Erikson's developmental task of industry versus inferiority?

A nurse and a newly licensed nurse are providing care for a client who has distributive shock related to an anaphylactic reaction. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

A nurse is preparing to administer digoxin to a pediatric client who has heart failure. Which of the following actions is appropriate?