A nurse is assessing an infant who has a ventricular septal defect. Which of the following should the nurse expect?
Weak femoral pulses
High blood pressure
Dysrhythmias
Loud, harsh murmur
The Correct Answer is D
A. Weak femoral pulses may be seen in other congenital heart defects but are not typically associated with VSD.
B. High blood pressure is not a typical finding in VSD, as the defect usually leads to increased blood flow to the lungs rather than systemic hypertension.
C. Dysrhythmias are not commonly associated with VSD unless there are other complicating factors.
D. A loud, harsh murmur is a classic finding in infants with a ventricular septal defect (VSD), due to the abnormal flow of blood through the hole in the septum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A low-fat diet is inappropriate for children with cystic fibrosis; they require a high-fat, high-calorie diet.
B. Pancreatic enzymes must be taken with every meal and snack to help with nutrient absorption in children with cystic fibrosis.
C. Limiting fluid intake is not appropriate for children with cystic fibrosis; adequate hydration is important.
D. Salt intake should be increased, not restricted, in children with cystic fibrosis due to excessive salt loss in sweat.
Correct Answer is B
Explanation
A. The CRIES scale is used for neonates and infants, not toddlers.
B. The FACES pain rating scale is appropriate for children aged 3 years and older, allowing them to express their pain visually through faces showing different expressions.
C. The Noncommunicating children's pain checklist is used for older children with communication impairments.
D. The Numeric pain rating scale is more suitable for older children and adults who can understand and use numbers to rate pain.
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