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 B
Explanation
A) "A nurse will draw blood from your baby's inner elbow.": This statement is misleading, as newborn screening is typically performed using a heel prick to collect blood from the heel rather than drawing blood from the inner elbow, which is not standard practice for infants.
B) "This test should be performed after your baby is 24 hours old.": This is correct. Newborn genetic screening is ideally conducted after the baby is at least 24 hours old to ensure accurate results, especially for metabolic conditions that may not be detectable earlier.
C) "This test will be repeated when your baby is 2 months old.": This statement is inaccurate. While some follow-up tests may be conducted, routine newborn screening is typically not repeated at 2 months unless there are abnormal results from the initial screening.
D) "Your baby will be given 2 ounces of water to drink prior to the test.": This statement is incorrect, as newborns are usually not given water before the screening test. The test is performed without prior hydration, and feeding may not be necessary right before the heel prick.
Correct Answer is C
Explanation
A. "You are making progress in your treatment plan." While this response provides positive reinforcement, it doesn't address the client's feelings of frustration or desire to go home, potentially invalidating their emotions.
B. "You should call your partner to discuss this." Suggesting that the client call their partner shifts the focus away from their feelings and may not provide the immediate emotional support they need.
C. "It must be very frustrating for you to be here." This response acknowledges the client's feelings and validates their frustration. It opens the door for further discussion about their emotions, helping the client feel heard and understood.
D. "It would be best to discuss your feelings with your provider." This response may dismiss the client's current feelings by directing them away from the nurse, who is present and capable of providing support. It is important to validate the client's feelings first.
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