In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

Aortic stenosis (AS)

Transposition of the Great Vessels (Arteries)

Coarctation of the Aorta (COA)

Tetralogy of Fallot (TOF)

Answer and Explanation

The Correct Answer is C

A. Aortic stenosis (AS) typically causes a difference in blood flow across the aortic valve but does not usually require assessment of upper and lower extremity blood pressures.

B. Transposition of the Great Vessels (Arteries) results in cyanosis and abnormal circulatory flow but does not require upper and lower extremity blood pressure monitoring.

C. Coarctation of the Aorta (COA) is characterized by narrowing of the aorta, often resulting in higher blood pressure in the upper extremities compared to the lower extremities. Measuring both helps identify this condition.

D. Tetralogy of Fallot (TOF) involves right ventricular outflow obstruction, VSD, overriding aorta, and right ventricular hypertrophy, but upper and lower extremity blood pressures are not typically used for diagnosis.

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Correct Answer is C

Explanation

A. Staying home for 2 weeks is excessive; typically, 24 to 48 hours of antimicrobial therapy is enough before the child is no longer contagious.

B. While discharge is a sign of infection, the child can often return to school after receiving treatment for 24 to 48 hours.

C. This is correct. Bacterial conjunctivitis is contagious, and children should stay home until they've been on antibiotics for 24 to 48 hours to reduce transmission.

D. This is incorrect; the child should stay home for 24 to 48 hours after starting treatment, as they can still be contagious during that time.

A. Extreme fatigue B. An airway obstruction C. Presence of pain D. Presence of dehydration

Correct Answer is B

Explanation

A. Extreme fatigue is not indicated by this positioning.

B. The child’s forward-leaning position with neck extension is a classic sign of epiglottitis, where the child is attempting to open the airway and facilitate breathing in response to obstruction.

C. Pain may be present, but the positioning is primarily related to an attempt to alleviate airway obstruction.

D. Dehydration would not typically cause this specific positioning.

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In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?

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Naxlex Comprehensive Predictor Exams

The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

Correct Answer is C

Explanation

The nurse employed in an emergency department is monitoring a child diagnosed with epiglottitis. The nurse notes that the child is leaning forward with the neck extended. How would the nurse interpret this finding? -

Correct Answer is B

Explanation

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