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?

Upper extremity hypotension

Weak femoral pulses

Frequent nosebleeds

Increased intracranial pressure

Answer and Explanation

The Correct Answer is B

A.   Coarctation of the aorta typically results in hypertension in the upper extremities due to increased pressure proximal to the coarctation.
B.   Weak or absent femoral pulses are characteristic findings in coarctation of the aorta due to reduced blood flow to the lower extremities beyond the coarctation. This finding indicates peripheral vascular compromise in the lower limbs.
C.   Frequent nosebleeds are not typically associated with coarctation of the aorta.

D. Coarctation of the aorta does not directly affect intracranial pressure.

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Correct Answer is D

Explanation

A. A blood pressure reading of 150/92 mm Hg is indicative of hypertension, a symptom of preeclampsia, but it is not a therapeutic effect of magnesium sulfate.
B. A flushed face is not a therapeutic effect of magnesium sulfate and may indicate adverse effects such as magnesium toxicity.
C. A pulse rate of 100/min is within the normal range and is not a specific therapeutic effect of magnesium sulfate.
D. Negative clonus, assessed by dorsiflexing the client's foot and observing for absence of rhythmic oscillations or beats, indicates a therapeutic level of muscle relaxation provided by magnesium sulfate to prevent seizures in clients with preeclampsia

A. Administer sedation for the procedure. B. Schedule an MRI postprocedure to verify placement. C. Use gauze to secure an arm board to the involved extremity. D. Measure the arm circumference above the insertion site daily

Correct Answer is D

Explanation

A: Sedation is not typically required for PICC line insertion; local anesthesia is usually sufficient.
B: An MRI is not the standard method to verify PICC line placement; an x-ray is typically used.
C: Using gauze to secure an arm board can restrict circulation and is not recommended for securing a PICC line.
D: Measuring the arm circumference daily is important to monitor for complications such as swelling or phlebitis at the insertion site.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV Infusion. For which of the following therapeutic effects should the nurse monitor the client?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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