A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.)

Clubbing of the fingers

Weak femoral pulses

Cool skin of lower extremities

Low blood pressure

Severe cyanosis

Answer and Explanation

Correct Answer : B,C

Choice A reason: Clubbing of the fingers is not typically associated with coarctation of the aorta; it is more commonly seen in chronic hypoxia conditions.

Choice B reason: Weak femoral pulses are expected in coarctation of the aorta due to the narrowing of the aorta, which can reduce blood flow to the lower extremities.

Choice C reason: Cool skin of the lower extremities can be a result of decreased blood flow due to the narrowed aorta in coarctation.

Choice D reason: High blood pressure is more commonly associated with coarctation of the aorta, especially in the upper body, due to the narrowing of the aorta increasing resistance to blood flow⁷.

Choice E reason: Severe cyanosis can occur in coarctation of the aorta if there is a significant obstruction to blood flow, leading to poor oxygenation.

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Correct Answer is C

Explanation

Choice A reason: Medication should not be cool as it can cause discomfort or even reflexive actions like vomiting or vertigo. It should be at room temperature⁷.

Choice B reason: Hyperextending the infant's neck is not necessary and could be uncomfortable or unsafe. The position should be natural and comfortable⁷.

Choice C reason: Pulling the pinna downward and straight back is the correct method for infants to straighten the ear canal for proper administration of otic medication⁷.

Choice D reason: Holding the infant in an upright position is not ideal for otic medication administration. The infant should be lying down or sitting with the affected ear facing up⁷.

A. Rapid growth spurts B. Thin, watery mucus C. Wheezing D. Barrel-shaped chest

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

Explanation

Choice A reason: Rapid growth spurts are not associated with cystic fibrosis. Instead, patients often experience poor growth due to malabsorption.

Choice B reason: Thin, watery mucus is not typical in cystic fibrosis. The mucus is usually thick and sticky, leading to blockages in the lungs and pancreas.

Choice C reason: Wheezing is a common symptom in cystic fibrosis due to the obstruction of the airways by thick mucus.

Choice D reason: A barrel-shaped chest can develop in cystic fibrosis due to chronic lung infections and air trapping.

Choice E reason: Clubbing of fingers and toes is a sign of chronic hypoxia, which can occur in cystic fibrosis due to long-standing lung disease.

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A nurse is assessing an infant who has coarctation of the aorta. Which of the following findings should the nurse expect? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who needs otic medication. Which of the following is an appropriate action for the nurse to take?

Correct Answer is C

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A nurse is performing an admission assessment for a child who has cystic fibrosis. Which of the following findings should the nurse expect? (Select all that apply.)

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

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