The nurse is caring for a 13-year-old diagnosed with atrial septal defect (ASD). Their caregivers report that the child seems more anxious and worried than usual. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?

Children may become anxious when they have to be in a health care setting.

Children with ASD are at greater risk for experiencing anxiety.

Children with ASD have mood disorders.

Worrying is normal for this age group.

Answer and Explanation

The Correct Answer is B

Choice A reason: While it is true that children may become anxious when they have to be in a health care setting, this statement does not specifically address the unique situation of a child with atrial septal defect (ASD). The diagnosis of ASD can contribute to an increased risk of anxiety due to the underlying health condition and its implications, rather than just the health care setting alone.

Choice B reason: Children with atrial septal defect (ASD) are indeed at a greater risk for experiencing anxiety. The presence of a congenital heart condition can create significant stress and worry for the child and their family. The anxiety could stem from concerns about their health, potential treatments, and the impact of the condition on their daily life. Therefore, this response appropriately acknowledges the connection between the diagnosis of ASD and the increased anxiety levels observed in the child.

Choice C reason: Although children with atrial septal defect may experience anxiety, the statement that children with ASD have mood disorders is not necessarily accurate. Mood disorders and anxiety are distinct conditions, and while they can co-occur, it is not a given that a child with ASD will have mood disorders. Thus, this response is not entirely appropriate for addressing the caregivers' concern.

Choice D reason: Worrying can be considered normal for children in general; however, this response does not specifically address the context of the child's atrial septal defect (ASD) and its potential impact on their anxiety levels. This statement is too generalized and does not provide the caregivers with the necessary reassurance and information related to the diagnosis of ASD. Therefore, it is not the most appropriate response from the nurse.

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

Explanation

Choice A reason: Lethargy and hypotonia are critical findings in a child who was left in a closed car. These symptoms can indicate severe dehydration, heat stroke, or other serious conditions that require immediate medical attention.

Choice B reason: Elastic skin turgor generally indicates good hydration status and is not an immediate concern that needs to be reported urgently in this context.

Choice C reason: An apical heart rate of 64 beats per minute is significantly low for a 14-month-old child, indicating bradycardia, which can be a sign of severe heat stress or dehydration. This finding needs immediate reporting.

Choice D reason: A blood pressure of 100/54 mmHg is within the normal range for many paediatric patients, but in the context of being left in a hot car, it can suggest potential complications and should be monitored closely. However, it is not as critical as the heart rate and mental status findings.

Choice E reason: A flat anterior fontanel is a normal finding in infants and does not require urgent intervention in this context.

A. Holding head upright and sitting unsupported. B. Pushing food out with their tongue. C. Grasping small objects and not letting go. D. The infant is between 4 and 6 months old.

Correct Answer is B

Explanation

Choice A reason: Holding their head upright and sitting unsupported are signs that an infant may be ready for solid foods. These motor skills indicate that the baby has enough control to handle swallowing food safely.

Choice B reason: Pushing food out with their tongue is known as the tongue-thrust reflex, and it is a sign that the infant may not be ready for solid foods yet. This reflex prevents choking and generally diminishes between 4 and 6 months of age.

Choice C reason: Grasping small objects and not letting go demonstrates that the baby has developed fine motor skills, which are also important for starting solid foods. However, this alone does not determine readiness.

Choice D reason: Being between 4 and 6 months old is an appropriate age range for introducing solid foods, as long as other readiness signs are also present. Age alone is not the sole indicator of readiness for solid foods.

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The nurse is caring for a 13-year-old diagnosed with atrial septal defect (ASD). Their caregivers report that the child seems more anxious and worried than usual. Considering the diagnosis of ASD, which of the following responses is appropriate for the nurse to make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The emergency department nurse is assessing a 14-month-old child who was left inside a closed car for an hour. The outside temperature was 88 degrees Fahrenheit. Which assessment findings will the nurse report immediately to the health care provider? Select all that apply.

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

Explanation

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Correct Answer is B

Explanation

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