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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Seizure precautions are necessary due to the risk of seizures in bacterial meningitis.
B. A private room is necessary to reduce the spread of infection to others.
C. Semi-Fowler's position helps reduce intracranial pressure and is appropriate in managing bacterial meningitis.
D. Measuring head circumference every shift is not typically required for a 6-year-old with bacterial meningitis, as it is more relevant in infants where rapid head growth could indicate increased intracranial pressure.
Correct Answer is A
Explanation
A. This is a common manifestation of hydrocephalus in newborns. The increased cerebrospinal fluid (CSF) in the ventricles causes the skull to expand, which can lead to prominent and dilated scalp veins due to increased intracranial pressure.
B. Over-riding suture lines are more commonly associated with conditions like craniosynostosis or during the early stages of labor when the skull bones overlap. In hydrocephalus, the sutures are more likely to be separated rather than overridden due to the expansion of the skull.
C. This is not a typical manifestation of hydrocephalus. Instead, you would expect a more pronounced or bulging forehead due to increased intracranial pressure.
D. Hypertension is not typically a manifestation of hydrocephalus in newborns. Instead, the condition is more associated with signs of increased intracranial pressure and changes in head size.
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