A nurse is caring for a child with coarctation of the aorta. On assessment the nurse finds stronger pulses in the upper extremities than in the lower extremities. The blood pressure In the child's arms is higher than in the child's legs. Which of the following is a priority Intervention the nurse should implement?

Administer intravenous antibiotics

Continue to monitor the child for complications

Prepare for a balloon angioplasty

Notify the cardiologist of the findings

Answer and Explanation

The Correct Answer is D

A.   Antibiotics are not indicated for coarctation of the aorta.
B.   Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C.   Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D.   Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.

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Correct Answer is A

Explanation

A. Bacterial meningitis is highly contagious, and isolation precautions are necessary to prevent the spread of the infection to others. This should be the nurse's first action to protect both the child and others.
B. While antibiotics are crucial in treating bacterial meningitis, initiating isolation protocols is the first priority to prevent transmission to others.
C. A lumbar puncture is needed to confirm the diagnosis of meningitis, but isolation protocols should be established first to prevent spread.
D. Blood cultures are important for diagnosing bacterial meningitis but are secondary to ensuring proper isolation to prevent contagion.

A. Call for a code blue and initiate cardiopulmonary resuscitation (CPR) B. Restrain the child to prevent injury C. Administer a dose of lorazepam to stop the seizure D. Ensure the child's safety by removing nearby objects and padding the area

Correct Answer is D

Explanation

A. CPR is not typically necessary unless the child stops breathing or the heart stops during the seizure, which is rare.
B. Restraining a child during a seizure can cause injury. The focus should be on safety and protection, not restraint.
C. Lorazepam may be given if the seizure lasts too long, but ensuring safety is the priority action.
D. The nurse’s priority during a seizure is to ensure the child’s safety by removing hazardous items from the area and ensuring the child does not get injured.

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Naxlex Comprehensive Predictor Exams

A nurse is triaging a child who has suspected bacterial meningitis. The nurse recognizes which of the following as the initial action?

Correct Answer is A

Explanation

A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

Correct Answer is D

Explanation

A nurse is caring for an adolescent client who has tinea pedis. The parents ask the nurse, "What is the common name of this infection?" The nurse should respond with which of the following common names?

A nurse is assessing a 5-month-old infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

A home health nurse is developing a plan of care for a child diagnosed with hemiplegic cerebral palsy. Which of the following goals is the priority for the nurse to include in the plan of care?

A Nurse is caring for a child with Slipped Capital Femoral Epiphysis (SCFE). Which interventions should be prioritized for a child with SCFE? SELECT ALL THAT APPLY.

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

A nurse is providing teaching to a parent of a preschooler client who has eczema. Which of the following Instructions should the nurse include In the teaching?

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings indicate increased intracranial pressure in an Infant?