A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?

Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities

Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities

Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities

Answer and Explanation

The Correct Answer is D

A. Low systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta causes the opposite finding.

B. Elevated systolic blood pressure in the upper extremities and elevated systolic blood pressure in the lower extremities. – Incorrect. Blood pressure in the lower extremities is reduced due to decreased blood flow.

C. Low systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Incorrect. Coarctation of the aorta leads to hypertension in the upper body due to increased resistance.

D. Elevated systolic blood pressure in the upper extremities and low systolic blood pressure in the lower extremities. – Correct. Coarctation of the aorta causes high BP in the arms and low BP in the legs due to obstructed blood flow past the narrowing.

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Correct Answer is B

Explanation

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

A. The child’s parent applies the prescribed medication instructed. B. The parent allows their child to attempt to lift their older sibling above the ground. C. The child’s parent enforces nose blowing when necessary. D. The Childs parent States that they developed a plan to have their child use ear plugs in the shower, E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon.

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

Explanation

A. The child’s parent applies the prescribed medication instructed. – Correct. Proper administration of medication helps prevent infection and promotes healing.

B. The parent allows their child to attempt to lift their older sibling above the ground. – Incorrect. Strenuous activities should be avoided to prevent tube displacement.

C. The child’s parent enforces nose blowing when necessary. – Incorrect. Nose blowing should be avoided as it can increase pressure and dislodge the tubes.

D. The child’s parent states that they developed a plan to have their child use earplugs in the shower. – Correct. Water should be kept out of the ears to prevent infection.

E. The parent noticed purulent drainage from their child's ear and immediately reported it to the surgeon. – Correct. Reporting drainage helps identify potential infections early.

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A nurse is completing an assessment of a newborn, including obtaining blood pressure measurements at each extremity. Which of the following findings suggests coarctation of the aorta?

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Naxlex Comprehensive Predictor Exams

What is an appropriate nursing intervention for a child with failure to thrive?

Correct Answer is B

Explanation

A nurse is providing teaching for a parent of a preschool-aged child who had a myringotomy with a tympanoplasty tube insertion 4 days ago. Which of the following actions should the nurse identify as an indication that the teaching was effective? (Select All that Apply.)

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

Explanation

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