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? -

Extreme fatigue

An airway obstruction

Presence of pain

Presence of dehydration

Answer and Explanation

The Correct Answer is B

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

Explanation

A. Right ventricular hypertrophy is part of the pathophysiology of TOF, resulting from the increased workload on the right ventricle due to pulmonary stenosis.

B. Left ventricular hypertrophy is not part of TOF; the condition primarily affects the right ventricle.

C. Patent ductus arteriosus (PDA) is not a characteristic of TOF, although it may be present in some cases, it's not part of the primary defects.

D. Ventricular septal defect (VSD) is a primary defect in TOF, which allows blood to mix between the left and right ventricles.

E. Pulmonary stenosis (PS) is a key feature of TOF, causing right-sided obstruction.

F. Overriding aorta occurs when the aorta is positioned directly over the VSD, receiving blood from both the right and left ventricles.

A. Transposition of The Great Arteries B. Coarctation of the Aorta C. Patent Ductus Arteriosus D. Tetralogy of Fallot

Correct Answer is C

Explanation

A. Transposition of The Great Arteries involves abnormal positioning of the arteries, leading to systemic and pulmonary circulations being disconnected, rather than increased pulmonary blood flow.

B. Coarctation of the Aorta is a narrowing of the aorta that can cause increased pressure in the upper extremities but does not involve increased pulmonary blood flow.

C. Patent Ductus Arteriosus (PDA) is a condition where the ductus arteriosus fails to close, causing increased blood flow to the lungs, leading to pulmonary overcirculation.

D. Tetralogy of Fallot leads to decreased pulmonary blood flow due to pulmonary stenosis and right ventricular hypertrophy.

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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? -

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Naxlex Comprehensive Predictor Exams

Tetralogy of Fallot (TOF) involves which defects? Select all that apply.

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

Explanation

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

Correct Answer is C

Explanation

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

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

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