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

Hypotension

Unequal upper and lower extremity pulses

Excessive crying

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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Correct Answer is D

Explanation

A. Clear drainage from the ear is more indicative of a ruptured tympanic membrane or an external ear infection (otitis externa) rather than otitis media.

B. Pain when manipulating the earlobe is associated with otitis externa, not otitis media.

C. Erythema and edema of the outer ear may occur with otitis externa but are not common in otitis media, which affects the middle ear.

D. Tugging on the ear is a common sign of discomfort in children with otitis media due to pressure and pain in the middle ear.

A. "I can store unopened bottles of insulin in the freezer." B. "My morning blood glucose should be between 90 and 130." C. "I should not take my regular insulin when I am sick." D. "I should eat a snack half an hour before playing soccer."

Correct Answer is D

Explanation

A. Insulin should not be stored in the freezer, as freezing it can cause it to lose potency. Unopened insulin should be stored in the refrigerator.

B. The target blood glucose for a school-age child with type 1 diabetes is typically between 90 and 130 mg/dL, but this answer does not directly relate to management practices.

C. Insulin requirements may actually increase during illness, and skipping insulin can lead to dangerous hyperglycemia or diabetic ketoacidosis.

D. Eating a snack before physical activity is crucial to prevent hypoglycemia, especially in a child with type 1 diabetes. This response shows an understanding of managing blood glucose during exercise.

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

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