The parent of an 8-year-old child being treated at home for right lower lobe pneumonia calls the clinic nurse. The parent tells the nurse that the child complains of discomfort on the right side and that ibuprofen is ineffective. Which instruction would the nurse provide to the parent?

Increase the dose of ibuprofen.

Increase the frequency of ibuprofen.

Encourage the child to lie on the right side.

Encourage the child to lie on the left side.

Answer and Explanation

The Correct Answer is D

A. Increase the dose of ibuprofen: Changing the dose without provider approval is unsafe and not within the nurse's scope.
B. Increase the frequency of ibuprofen: This may risk overdose and should not be done without a physician’s order.
C. Encourage the child to lie on the right side: Lying on the affected side (right) can increase discomfort.
D. Encourage the child to lie on the left side: Lying on the unaffected side may relieve pleuritic pain by reducing pressure on the inflamed lung.

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Correct Answer is D

Explanation

A. Machine-like murmur: This is a hallmark finding of patent ductus arteriosus (PDA), not coarctation.
B. Severe cyanosis: Cyanosis is more typical in conditions with right-to-left shunting, not coarctation.
C. Pulmonary edema: May occur in heart failure but is not a primary or specific sign of coarctation.
D. Decreased blood pressure in the legs: Coarctation of the aorta causes narrowing, leading to higher BP in the upper extremities and lower BP in the legs.

A. "Has your son had a sore throat recently?" B. "Has your child had any injuries recently?" C. "Are you aware that your son will have to be in isolation?" D. "Was your son born with this cardiac defect?"

Correct Answer is A

Explanation

A. "Has your son had a sore throat recently?": Acute rheumatic fever is a sequela of untreated or poorly treated streptococcal pharyngitis. Identifying a recent sore throat helps confirm the diagnosis.
B. "Has your child had any injuries recently?": Rheumatic fever is not related to trauma.
C. "Are you aware that your son will have to be in isolation?": Rheumatic fever is not contagious and does not require isolation.
D. "Was your son born with this cardiac defect?": Rheumatic heart disease is acquired, not congenital.

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The parent of an 8-year-old child being treated at home for right lower lobe pneumonia calls the clinic nurse. The parent tells the nurse that the child complains of discomfort on the right side and that ibuprofen is ineffective. Which instruction would the nurse provide to the parent?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from an infant who has coarctation of the aorta. Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?

Correct Answer is A

Explanation

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