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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Albuterol is a short-acting beta-2 agonist that is used as a quick-relief medication to prevent exercise-induced bronchoconstriction.
Choice B reason: Prednisone is a corticosteroid used for long-term control, not for immediate relief before exercise.
Choice C reason: Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not typically for immediate pre-exercise use.
Choice D reason: Fluticasone/salmeterol is a combination of a corticosteroid and a long-acting beta-2 agonist, used for long-term control, not for quick relief before exercise.
Correct Answer is ["B","C","D","E"]
Explanation
Choice A reason: It is important to empty the bladder completely to prevent urine from remaining in the bladder, which can promote bacterial growth. However, this choice is not specific to teaching and is a general practice for anyone.
Choice B reason: Wearing cotton underpants is recommended because cotton is breathable and reduces moisture buildup, which can create an environment conducive to bacterial growth. The normal range for breathability in fabrics is not quantifiable but is a qualitative characteristic.
Choice C reason: Wiping from front to back helps prevent the spread of bacteria from the anal area to the urethra, which can reduce the risk of UTI. This is a key teaching point for preventing UTI recurrence.
Choice D reason: Bubble baths can irritate the urethral opening and are associated with an increased risk of UTIs, especially in children. Avoiding them is a preventive measure that should be included in the teaching.
Choice E reason: Watching for manifestations of infection, such as fever, pain, or changes in urine, is crucial for early detection and treatment of UTIs. Parents should be taught to monitor these signs closely.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.