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

A.

Hypotension

B.

Unequal upper and lower extremity pulses

C.

Excessive crying

D.

Diastolic murmur

Answer and Explanation

The Correct Answer is B

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.


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Related Questions

Correct Answer is A

Explanation

A. Sitting the child upright and forward while applying pressure to the sides of the nose is the correct approach to managing a nosebleed. This position prevents blood from flowing down the throat and helps stop the bleeding by applying direct pressure.

B. Turning the child's head to the side and pressing on the nasal ridge is incorrect because it does not effectively control the bleeding and may cause blood to flow into the throat.

C. Lying the child in bed and pressing on the forehead is not effective in controlling a nosebleed.

D. Lying flat and applying pressure to the cheeks does not address the source of the bleeding and may worsen the situation.

Correct Answer is C

Explanation

A. Rest is recommended until the child recovers, as exertion can worsen symptoms and delay healing.

B. While streptococcal infections can lead to complications, a tooth abscess is not a typical concern.

C. Completing the entire course of antibiotics is crucial to prevent complications such as rheumatic fever and glomerulonephritis.

D. Swollen lymph nodes are common, but they typically do not obstruct the airway in streptococcal pharyngitis.

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