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) Abdomen: Assessing skin turgor on the abdomen in older adults is not recommended due to the natural loss of elasticity in this area, which can lead to inaccurate results.
B) Neck: The neck is also not an ideal location for assessing skin turgor in older adults, as the skin in this area can be affected by age-related changes, leading to unreliable assessments.
C) Sternum: The sternum is a preferred site for assessing skin turgor in older adults. The skin in this area tends to retain its elasticity better than other areas, providing a more accurate assessment of hydration status.
D) Shoulder: The shoulder is not commonly used for assessing skin turgor in older adults, as it may not provide reliable results due to age-related changes in skin elasticity. The sternum remains the best option for this assessment.
Correct Answer is C
Explanation
A) Urinary frequency: This is a common and expected symptom during pregnancy, particularly in the first and third trimesters, due to hormonal changes and the growing uterus pressing on the bladder. It does not typically require reporting unless it is accompanied by pain or other concerning symptoms.
B) Faintness upon rising: While some women may experience dizziness or faintness due to hormonal changes or blood pressure fluctuations, it is not universally alarming unless it is frequent or severe. However, it’s important for the client to monitor this and report if it becomes problematic.
C) Swelling of the face: This is a concerning symptom that should be reported to the provider. Facial swelling can indicate possible preeclampsia, particularly when accompanied by high blood pressure or protein in the urine, and should be assessed promptly.
D) Bleeding gums: While some women may experience bleeding gums during pregnancy due to hormonal changes affecting the gums, it is generally not a significant concern unless it is severe or persistent. Regular dental care is advised, but it typically does not require immediate reporting to a healthcare provider.
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