The primary therapy for secondary hypertension in children is...
treatment of the underlying cause.
low-salt diet.
Increased exercise and fitness
weight reduction.
The Correct Answer is A
Secondary hypertension in children is hypertension (high blood pressure) that is caused by an underlying medical condition or medication. The primary approach to managing secondary hypertension is to identify and treat the underlying cause. This may involve medical treatment, surgery, or other interventions, depending on the specific condition responsible for the high blood pressure.
While lifestyle modifications such as a low-salt diet, increased exercise, fitness, and weight reduction can be important components of managing blood pressure in some cases, they are not the primary therapy for secondary hypertension. The focus should be on addressing the root cause of hypertension, and lifestyle modifications may be recommended as part of the overall treatment plan.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The symptoms described, including vomiting, coughing, and looking flushed, are concerning for a potentially severe allergic reaction, which can be life-threatening. This could be indicative of anaphylaxis, a severe allergic reaction that requires immediate medical attention.
Administering CPR (Option D) is not appropriate at this point unless the child becomes unresponsive and stops breathing, which would be a very late sign of anaphylaxis. In such a situation, CPR would be necessary, but the primary focus should be on calling 911 and obtaining immediate medical assistance.
Option A, giving Benadryl, can be part of the treatment for an allergic reaction, but it should not be the first or only action taken in a severe allergic reaction. Immediate medical evaluation and potential administration of epinephrine are more critical.
Option B, recommending symptomatic treatment for the cough, is not appropriate in this situation. The priority is recognizing the potential severity of the allergic reaction and seeking immediate emergency care.
Therefore, the nurse should advise the mother to call 911 to ensure that the child receives prompt medical attention and assessment for anaphylaxis.
Correct Answer is A
Explanation
To calculate the safest dose of amoxicillin for Archie based on his weight of 44 pounds (lbs) and the recommended dose of 50 mg/kg/day in two divided doses, you should follow these steps:
Step 1: Convert Archie's weight from pounds (lbs) to kilograms (kg).
1 pound = 0.453592 kilograms
44 lbs * 0.453592 kg/lb = 19.504 kg (rounded to the nearest tenth)
Step 2: Calculate the total daily dose based on his weight.
Total daily dose = Weight (kg) * Dose (mg/kg/day)
Total daily dose = 19.504 kg * 50 mg/kg/day = 975.2 mg/day
Step 3: Divide the total daily dose into two equal doses since it's to be administered in two divided doses.
Each dose = Total daily dose / 2
Each dose = 975.2 mg/day / 2 = 487.6 mg/dose
Since it's not possible to administer a fraction of a milligram accurately, you would round the dose to the nearest available dosage strength.
Therefore, the safest dose for Archie would be:
500 mg
So, Archie should take 500 mg of amoxicillin before his dentist appointment.
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