A nurse is providing care to a 2-year-old who has a strong family history of hypertension. At the clinic visit, the child's caregiver asks when it would be appropriate to monitor blood pressure. Which of the following statements made by the nurse is accurate?
"Your child should have their blood pressure checked every time they are seen for a health care visit."
"Your child should have blood pressure screening annually, starting at 3 years of age."
"Your child should have blood pressure screenings every 6 months, starting at 2 years of age."
"Your child will not have blood pressure screening until they are in high school."
The Correct Answer is A
A. "Your child should have their blood pressure checked every time they are seen for a health care visit.": Children with a strong family history of hypertension are considered at increased risk, so regular monitoring at each health care visit allows for early detection and intervention if elevated blood pressure develops.
B. "Your child should have blood pressure screening annually, starting at 3 years of age.": Standard guidelines recommend routine annual screening starting at 3 years for children without risk factors, but those with a family history of hypertension require more frequent monitoring.
C. "Your child should have blood pressure screenings every 6 months, starting at 2 years of age.": While increased frequency may be considered in some high-risk children, standard recommendations prioritize checking at each visit rather than a fixed 6-month schedule.
D. "Your child will not have blood pressure screening until they are in high school.": Delaying screening until adolescence would miss opportunities for early identification and management of elevated blood pressure, particularly in children at risk due to family history.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Monitor intake and output: Monitoring hydration is important in children with pertussis due to vomiting after coughing spells, but it is not the immediate priority in the paroxysmal stage. Stabilizing the child and minimizing triggers that worsen coughing takes precedence.
B. Provide a nutritious meal: During the paroxysmal stage, coughing fits can be severe and are often followed by vomiting. Offering meals too early may increase the risk of emesis and aspiration rather than support recovery.
C. Request play activities from the play therapist: Excessive stimulation, including play, can precipitate coughing paroxysms in pertussis. Activity should be limited during acute episodes to reduce respiratory distress.
D. Allow the child to sleep and take a nap: Rest and reduced stimulation are priorities during the paroxysmal stage of pertussis. Sleep helps conserve energy, decreases coughing triggers, and supports respiratory stability during this critical phase.
Correct Answer is B
Explanation
A. "This medication will prevent you from spreading the virus.": While effective ART reduces viral load and transmission risk, it does not eliminate the possibility of spreading HIV. Safe practices, including condoms and avoiding blood exposure, remain essential.
B. "You will need to take this medication as prescribed every day.": Adherence to Zidovudine (Retrovir) as prescribed is critical for suppressing viral replication, preventing drug resistance, and maintaining immune function. Daily, consistent dosing ensures therapeutic effectiveness and long-term health outcomes.
C. "It will be fine to take sleeping pills if you can't sleep.": Some medications may interact with antiretroviral therapy, and sleep aids should only be used under provider supervision. Taking over-the-counter or prescription sleep medications without guidance can risk adverse interactions.
D. "If you have nausea and vomiting, stop the medication immediately.": Stopping ART abruptly can lead to viral rebound and resistance. Management of side effects should involve contacting the healthcare provider for guidance on supportive measures or dose adjustments rather than discontinuing the medication independently.
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