While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

Kawasaki disease

Tricuspid Atresia

Tetralogy of Fallot

Patent Ductus Arteriosus (PDA)

Answer and Explanation

The Correct Answer is D

A. Kawasaki disease typically presents with fever, rash, and conjunctivitis, not a machine-like murmur or the other cardiovascular findings.

B. Tricuspid Atresia involves a defect in the tricuspid valve and presents with cyanosis and poor circulation, but not a machine-like murmur.

C. Tetralogy of Fallot involves a murmur due to pulmonary stenosis and VSD but would not produce a "machine-like" murmur, which is characteristic of PDA.

D. Patent Ductus Arteriosus (PDA) results in a continuous "machine-like" murmur due to abnormal blood flow between the aorta and pulmonary artery, along with findings of pulmonary congestion and right ventricular hypertrophy.

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

Explanation

A. Household smoking increases the risk of otitis media by irritating the respiratory tract and impairing immune function.

B. A history of urinary tract infections is not a risk factor for otitis media.

C. Exposure to illness in daycare centers or schools increases the likelihood of respiratory infections, which can lead to otitis media.

D. Native American ethnicity has a higher incidence of otitis media, likely due to genetic and environmental factors.

E. Absence of breastfeeding increases the risk of otitis media because breastfeeding provides immune protection.

F. Craniofacial anomalies (e.g., cleft palate) increase the risk of otitis media due to poor Eustachian tube function and chronic ear infections.

A. "When I am having an asthma attack, my airway is constricting and it can become dangerous" B. "should try to identify what causes me to have an asthma attack and avoid those activities if possible" C. "I’ve really been wanting to sleep with my dog and my asthma attacks will not stop me" D. "I will take albuterol prior to exercising to avoid an attack" E. "When I am having an asthma attack, I should call 911 before doing anything else"

Correct Answer is ["C","E"]

Explanation

A. This statement is correct. Airway constriction during an asthma attack can be dangerous.

B. Identifying and avoiding asthma triggers is an appropriate strategy for managing asthma.

C. Keeping a pet in the home when allergic to it or exposed to asthma triggers can worsen symptoms. This needs further education about asthma management.

D. Taking albuterol prior to exercise is a recommended strategy to prevent exercise-induced asthma.

E. Calling 911 immediately during an asthma attack is not the first step unless the child is unable to manage it with their prescribed rescue medication (e.g., albuterol). The first action should be to use the rescue inhaler.

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While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

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Naxlex Comprehensive Predictor Exams

A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.

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

Explanation

The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching? Select all that apply.

Correct Answer is ["C","E"]

Explanation

A nurse is caring for a child who has acute otitis media. Which of the following classic assessment findings should the nurse expect?

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

The nurse is assessing a 2-year-old client with symptoms of excessive drooling, respiratory distress, difficulty swallowing, and difficulty speaking. Based on these assessment findings, which conditions does the nurse suspect?

The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?

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?

The nurse is assessing a client diagnosed with ventricular septal defect (VSD), the nurse is aware that many infants with these conditions also receive a diagnosis of which of the following?

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