Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

murmur or swishing sound that increases with depression of the cuff.

clear tapping that gradually grows louder

louder knocking sound that occurs with each heartbeat.

sudden change or muffling of the sound.

Answer and Explanation

The Correct Answer is D

A.   A murmur or swishing sound does not correspond to the diastolic pressure; it is more indicative of turbulent blood flow.
B.   Clear tapping sounds are heard at systolic pressure but do not indicate diastolic pressure.
C.   Knocking sounds are associated with systolic pressure, not diastolic.
D.   The muffling sound heard after the first Korotkoff sounds indicates the diastolic pressure in children and some adults, which is the correct method for assessing the diastolic reading.

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Correct Answer is C

Explanation

A. Keeping the patient on bed rest is appropriate as it conserves energy and helps prevent further heat loss.
B. Providing additional blankets is a correct intervention to warm the patient gradually.
C. Increasing muscle activity is contraindicated because it could cause vasoconstriction and worsen hypothermia, as the body focuses on preserving core temperature.
D. Offering fluids (if permitted) is correct as hydration can help restore normal body temperature regulation.

A. date of previous diagnostic tests B. where the patient is living C. treatment for previous illnesses D. any allergies to medications

Correct Answer is D

Explanation

A. The date of previous diagnostic tests may be important, but it is secondary to immediate safety concerns like allergies.
B. Information about the patient's living situation can be useful for discharge planning but is not the most urgent piece of information.
C. Previous treatment for illnesses is important but does not supersede immediate health threats like allergies.
D. Knowing any allergies to medications is critical to avoid potentially harmful reactions. This is a priority when beginning care, as it informs medication administration and treatment options.

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Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a:

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Regarding the blood pressure in children, the diastolic pressure is assessed by the auscultation of a: