A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

"Diets can play a part in behavioral concerns. What does your child typically eat during the day?"

"Discipline is an important aspect of parenting. How do you discipline the child when they act out?"

"Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage."

"Some children have more difficult personalities. There are great parenting books that can help you."

Answer and Explanation

The Correct Answer is C

A. While diet can influence behavior, the concern here is the child’s developmental stage, making this response less relevant.

B. Discussing discipline is important, but understanding normal developmental behaviors is more appropriate in this context.

C. Explaining that temper tantrums are normal for toddlers, who are starting to develop a sense of autonomy, helps reassure the parent that this behavior is typical and part of the child's development.

D. Suggesting parenting books might be helpful, but it does not directly address the parent's immediate concern about the behavior.

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Correct Answer is B

Explanation

A. Hypotension is not typically associated with coarctation of the aorta; it more often leads to hypertension in the upper body.

B. Unequal pulses in the upper and lower extremities are a classic sign of coarctation of the aorta, as the obstruction typically affects blood flow to the lower body.

C. Excessive crying is not a specific indicator of coarctation of the aorta and can occur due to various reasons.

D. A diastolic murmur is not a primary indicator of coarctation of the aorta; it is more associated with other cardiac conditions.

A. BP 90/52 mm Hg, heart rate 120/min, respirations 28/min, and axillary temperature of 37.3°C (99.1°F) B. BP 79/40 mm Hg, heart rate 135/min, respirations 32/min, and oral temperature of 38° C (100.4" F) C. BP 85/50 mm Hg, heart rate 95/min, respirations 26/min, and axillary temperature of 36.7° C (98.1° F) D. BP 88/45 mm Hg, heart rate 113/min, respirations 28/min, and oral temperature 37.6" C (99.7" F)

Correct Answer is B

Explanation

A. These vital signs are generally within expected ranges for a 2-year-old child.

B. A blood pressure of 79/40 mm Hg is low for a 2-year-old, and the elevated heart rate of 135/min and increased respirations suggest that the child may be experiencing significant distress or volume depletion, requiring immediate attention.

C. These vital signs are within normal limits for a 2-year-old child.

D. Although the blood pressure is on the lower end of normal and heart rate is slightly elevated, these findings are less concerning than option B.

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A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

Nursing Test Bank

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A nurse is assessing a young child and suspects coarctation of the aorta based on which finding?

Correct Answer is B

Explanation

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Correct Answer is B

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