A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?
Frequent nosebleeds
Increased intracranial pressure
Upper extremity hypotension
Weak femoral pulses
The Correct Answer is D
A. Frequent nosebleeds: While hypertension can occur in coarctation of the aorta, frequent nosebleeds are not a typical finding associated with this condition.
B. Increased intracranial pressure: This is not a direct finding of coarctation of the aorta. Increased intracranial pressure may be related to other conditions, but it is not specifically expected in this context.
C. Upper extremity hypotension: In coarctation of the aorta, the upper extremities usually experience higher blood pressure due to the narrowing of the aorta distal to the branches supplying the arms. Therefore, hypotension in the upper extremities is not expected.
D. Weak femoral pulses: This is an expected finding in coarctation of the aorta, as the narrowing of the aorta can lead to decreased blood flow to the lower body, resulting in weak or diminished femoral pulses compared to the upper extremities.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) "You must be at least 21 years of age to become an organ donor.": This is inaccurate. Individuals as young as 18 can register as organ donors, provided they meet the necessary criteria.
B) "Your name cannot be removed once you are listed on the organ donor list.": This is misleading. Individuals can remove themselves from the organ donor list if they change their minds, as long as they follow the appropriate procedures.
C) "Your desire to be an organ donor must be documented in writing.": This is the correct answer. To ensure that a person's wishes regarding organ donation are respected, it is essential that they are documented, typically through a donor card or registry.
D) "I cannot be a witness for your consent to donate.": While it is true that a nurse may not serve as a witness for consent to donate, this response does not provide the client with useful information about organ donation itself.
Correct Answer is C
Explanation
A) Swaddle the newborn with his legs extended: This is not the appropriate way to swaddle a newborn. Swaddling should typically include flexing the legs to promote comfort and security, rather than extending them, which may be uncomfortable and less calming.
B) Maintain eye contact with the newborn during feedings: While establishing a bond with the newborn is important, excessive eye contact can overstimulate a newborn experiencing neonatal abstinence syndrome. The focus should be on creating a calming environment.
C) Minimize noise in the newborn's environment: This action is critical for a newborn experiencing neonatal abstinence syndrome, as these infants can be sensitive to stimuli. Reducing noise helps create a more soothing environment, which can alleviate symptoms of withdrawal.
D) Administer naloxone to the newborn: Naloxone is used to reverse opioid overdose, but it is not appropriate for routine treatment of neonatal abstinence syndrome. Management typically includes supportive care and, in some cases, pharmacologic treatment specific to the infant’s symptoms, rather than naloxone.
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