Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?
Recording an upper extremities,
Assessing for the presence of femoral pulses
Observing for excessive crying
Auscultating for a cardiac murmur
The Correct Answer is A
A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.
B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.
C. Excessive crying is not a specific indicator of coarctation of the aorta.
D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D
Explanation
A. Inspection: The nurse begins with a visual examination of the abdomen, looking for any abnormalities in skin color, shape, or movement.
B. Auscultation: Next, the nurse listens to the bowel sounds using a stethoscope. This step is performed before palpation to avoid altering the bowel sounds.
C. Superficial palpation: The nurse gently presses the surface of the abdomen to assess for any tenderness, distension, or masses.
D. Deep palpation: Finally, the nurse applies deeper pressure to feel for any deeper structures or masses within the abdomen.
Correct Answer is ["4"]
Explanation
To determine the correct dosage, the nurse should use the formula: (desired dose / amount on hand) x volume = amount to administer. In this case, it would be (320 mg / 400 mg) x 5 mL. This simplifies to 0.8 x 5 mL, which equals 4 mL.
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