A 6-year-old child has been diagnosed with coarctation of the aorta. Lately, he has been complaining when he comes in from recess. The health nurse should question the child about which of the following?

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Question 1 of 5

A 6-year-old child has been diagnosed with coarctation of the aorta. Lately, he has been complaining when he comes in from recess. The health nurse should question the child about which of the following?

Correct Answer: A

Rationale: The correct answer is A: Weakness and pain in legs. Coarctation of the aorta can lead to decreased blood flow to the lower extremities, causing symptoms like leg pain and weakness. The health nurse should question the child about this as it could be indicative of reduced blood flow from the aorta. Blurred vision (B) is not typically associated with coarctation of the aorta. Increased respiratory rate (C) is more commonly seen in conditions affecting the lungs or airways, not specifically related to coarctation of the aorta. Bruises on shins (D) are not directly related to the symptoms of coarctation of the aorta and do not provide relevant information in this context.

Question 2 of 5

Which of the following pacemakers is usually used in an emergency and attached by the critical care nurse to the patient?

Correct Answer: A

Rationale: The correct answer is A: Transcutaneous pacer. In an emergency, a transcutaneous pacer is used because it can be quickly attached externally to the patient's chest, providing immediate pacing support. This type of pacer delivers electrical impulses through the skin to stimulate the heart, making it an effective temporary solution. Summary: B: Epicardial pacer is surgically placed on the heart's surface and is not typically used in emergency situations. C: Transvenous pacer is inserted through a vein and requires more time for placement, making it less suitable for emergencies. D: Permanent pacer is surgically implanted for long-term use and is not used in emergency situations.

Question 3 of 5

The nurse recognizes that fibrinolytic therapy for the treatment of a MI has not been successful when the patient

Correct Answer: A

Rationale: Indications that the occluded artery is patent include relief of chest pain, return of ST segment to baseline on the ECG, the presence of reperfusion dysrhythmias, and a marked, rapid rise of the CK enzyme within 3 hours of therapy. If chest pain is unchanged, it is an indication that reperfusion has not occurred.

Question 4 of 5

You are working in the emergency department (ED) when a patient arrives, complaining of substernal and left arm discomfort that has been going on for about 3 hours. All of these baseline laboratory tests are drawn. Which one will be most useful in determining whether you should anticipate implementing the acute coronary syndrome (ACS) standard orders?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

You are working in an outpatient clinic where many vascular diagnostic tests are performed. Which of these tasks associated with vascular testing will be most appropriate to delegate to an experienced nursing assistant?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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