Coarctation of the aorta demonstrates few symptoms in newborns.
What is an important assessment for the nurse to make on all newborns to help reveal this condition?
Auscultating for a cardiac murmur.
Recording blood pressure in upper extremities.
Assessing for the presence of femoral pulses.
Observing for excessive crying.
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale
Auscultating for a cardiac murmur can be helpful but is not the most specific assessment for coarctation of the aorta. Murmurs can be present in various cardiac conditions.
Choice B rationale
Recording blood pressure in the upper extremities alone is not sufficient. Coarctation of the aorta often presents with a discrepancy between upper and lower extremity blood pressures.
Choice C rationale
Assessing for the presence of femoral pulses is crucial. In coarctation of the aorta, there is decreased blood flow to the lower extremities, leading to weak or absent femoral pulses.
Choice D rationale
Observing for excessive crying is non-specific and can be associated with many conditions, not just coarctation of the aorta.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Increasing the oxygen flow rate may help improve oxygen saturation, but it does not address the underlying issue of fluid overload and heart failure exacerbation.
Choice B rationale:
Administering an additional dose of furosemide may help reduce fluid overload, but it is not the most immediate action to improve the client’s respiratory status and comfort.
Choice C rationale:
Notifying the healthcare provider is important, but the nurse should first take immediate action to improve the client’s respiratory status and comfort.
Choice D rationale:
Repositioning the client to a high Fowler’s position is the most appropriate initial nursing action. This position helps improve lung expansion and reduces the work of breathing, providing immediate relief for the client experiencing dyspnea and respiratory distress.
Correct Answer is D
Explanation
The correct answer is D. My child will take the enzymes to help digest the fat in foods.
Choice A rationale
Taking pancreatic enzymes following meals is not effective. The enzymes need to be taken with meals to aid in the digestion of food as it is being consumed.
Choice B rationale
Pancreatic enzymes are not taken to improve metabolism. They are specifically prescribed to aid in the digestion of fats, proteins, and carbohydrates in children with cystic fibrosis.
Choice C rationale
Taking pancreatic enzymes 2 hours before meals is not effective. The enzymes need to be taken with meals to ensure they are present in the digestive tract when food is being digested.
Choice D rationale
Taking pancreatic enzymes helps digest the fat in foods. Children with cystic fibrosis have difficulty digesting fats due to the thick mucus that blocks the pancreatic ducts, preventing the release of digestive enzymes
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