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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

Murmur

Bradycardia

Hypotension

Clubbing of the nail beds

Weak pulses

Answer and Explanation

Correct Answer : A,C,E

A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.

B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.

C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.

D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.

E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.

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Free Nursing Study Resources

Correct Answer is ["70"]

Explanation

The nurse should withhold digoxin if the child's apical heart rate is less than 70 beats per minute because digoxin slows the conduction of electrical signals in the heart and increases the force of cardiac contraction. While this helps to treat conditions like heart failure and arrhythmias, it can also lead to bradycardia. Administering digoxin when the heart rate is already too low increases the risk of adverse effects like severe bradycardia or even cardiac arrest.

A. Orthopedic surgeon B. Radiation oncologist C. Nutritionist D. Play therapist E. Audiologist

Correct Answer is ["B","C","D"]

Explanation

A. Orthopedic surgeon – Incorrect. Retinoblastoma does not require orthopedic intervention.

B. Radiation oncologist – Correct. Radiation therapy is a common treatment for retinoblastoma.

C. Nutritionist – Correct. Proper nutrition is important during cancer treatment to maintain the child's strength and immune function.

D. Play therapist – Correct. A play therapist helps young children cope with medical procedures and emotional distress.

E. Audiologist – Incorrect. Retinoblastoma does not typically affect hearing unless chemotherapy causes ototoxicity, which is less common.

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A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer digoxin to a 12 year-old child. Prior to administering the dose. the nurse measures the apical heart rate. The nurse should withhold the dose if the child's apical heart rate is less than what rate?

Correct Answer is ["70"]

Explanation

Correct Answer is ["B","C","D"]

Explanation

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