A nurse is caring for a child with coarctation of the aorta. On assessment the nurse finds stronger pulses in the upper extremities than in the lower extremities. The blood pressure In the child's arms is higher than in the child's legs. Which of the following is a priority Intervention the nurse should implement?
Administer intravenous antibiotics
Continue to monitor the child for complications
Prepare for a balloon angioplasty
Notify the cardiologist of the findings
The Correct Answer is D
A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.
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Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Duchenne muscular dystrophy is caused by a mutation in the dystrophin gene, which is X-linked, meaning it is passed down from carrier mothers to affected sons. It primarily affects boys.
B. Children with DMD usually lose the ability to walk by the age of 12 due to progressive muscle weakness.
C. DMD is characterized by the progressive degeneration and weakness of the skeletal muscles, leading to loss of function over time.
D. While most children with DMD will become wheelchair-bound, some may be able to ambulate independently until the early teenage years, before losing the ability to walk.
E. Hospitalization is not always required for DMD. Treatment may include outpatient therapies and management of symptoms. The need for hospitalization depends on complications.
Correct Answer is A
Explanation
A. Elevating the legs on a pillow helps reduce swelling and discomfort while the cast is healing.
B. Heat therapy should not be applied to the casted area, as it could cause skin irritation or burns.
C. Casts should not be removed for bathing unless specifically ordered by the provider.
D. Encouraging the infant to crawl or bear weight on the affected leg is not appropriate until the cast is removed and healing is complete.
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