A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

Itching and tenderness when manipulating the affected ear lobe

Fullness in the ear and a clogged sensation without other systemic findings

Edema and erythema of the external canal only

Pulling on the affected ear, acute onset of fever and otalgia

Answer and Explanation

The Correct Answer is D

A. Itching and tenderness when manipulating the affected ear lobe is more characteristic of an external ear infection (otitis externa) rather than acute otitis media.

B. Fullness in the ear and a clogged sensation might be experienced in acute otitis media, but it usually occurs with systemic signs of infection such as fever and pain.

C. Edema and erythema of the external canal only would indicate an external ear infection (otitis externa), not otitis media, which affects the middle ear.

D. Pulling on the affected ear, acute onset of fever, and otalgia (ear pain) are classic signs of acute otitis media. Children often pull or tug at the affected ear in response to pain.

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Correct Answer is C

Explanation

A. Transposition of The Great Arteries involves abnormal positioning of the arteries, leading to systemic and pulmonary circulations being disconnected, rather than increased pulmonary blood flow.

B. Coarctation of the Aorta is a narrowing of the aorta that can cause increased pressure in the upper extremities but does not involve increased pulmonary blood flow.

C. Patent Ductus Arteriosus (PDA) is a condition where the ductus arteriosus fails to close, causing increased blood flow to the lungs, leading to pulmonary overcirculation.

D. Tetralogy of Fallot leads to decreased pulmonary blood flow due to pulmonary stenosis and right ventricular hypertrophy.

A. Right ventricular hypertrophy B. Left ventricular hypertrophy C. Patent ductus arteriosus (PDA) D. Ventricular septal defect (VSD) E. Pulmonary stenosis (PS) F. Overriding aorta

Correct Answer is ["A","D","E","F"]

Explanation

A. Right ventricular hypertrophy is part of the pathophysiology of TOF, resulting from the increased workload on the right ventricle due to pulmonary stenosis.

B. Left ventricular hypertrophy is not part of TOF; the condition primarily affects the right ventricle.

C. Patent ductus arteriosus (PDA) is not a characteristic of TOF, although it may be present in some cases, it's not part of the primary defects.

D. Ventricular septal defect (VSD) is a primary defect in TOF, which allows blood to mix between the left and right ventricles.

E. Pulmonary stenosis (PS) is a key feature of TOF, causing right-sided obstruction.

F. Overriding aorta occurs when the aorta is positioned directly over the VSD, receiving blood from both the right and left ventricles.

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A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

Correct Answer is C

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Correct Answer is ["A","D","E","F"]

Explanation

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