The nurse is performing an admission assessment on the neonate and finds femoral pulses to be weaker than the brachial and radial pulses. The next nursing action should be

Place the infant in reverse Trendelenburg position

Place the infant in the knee to chest position

Take the infant's blood pressure in all extremities

Notify the Physician

Answer and Explanation

The Correct Answer is C

Option A (Place the infant in reverse Trendelenburg position) and option B (Place the infant in the knee to chest position) are not the immediate actions to address this situation. While these positions might be used in specific situations, assessing blood pressure is more appropriate in this context to evaluate for potential vascular issues.

Option C. Take the infant's blood pressure in all extremities.

In an infant with weaker femoral pulses compared to the brachial and radial pulses, there might be a concern about coarctation of the aorta (a narrowing of the aorta), which can affect blood flow to the lower extremities. To confirm this and assess for potential issues, taking blood pressure measurements in all four extremities is crucial. This comparison can help identify pressure differentials between the upper and lower extremities, which is a hallmark sign of coarctation of the aorta.

Option D (Notify the Physician) is generally a good step, but taking the blood pressure in all extremities should be done first to provide comprehensive information for the physician when discussing the infant's condition.

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Correct Answer is A

Explanation

A. Hypernatremia and Diabetes Insipidus.

The symptoms described, including dry mucous membranes, high urinary output, and seizures, are consistent with hypernatremia, which is an elevated level of sodium in the blood, and Diabetes Insipidus (DI).

Diabetes Insipidus is a condition where the body is unable to properly regulate water balance, leading to excessive thirst and urination. In the presence of DI, water loss is excessive, leading to dehydration, increased sodium levels, and potentially seizures.

B. Hyponatremia and Diabetes Insipidus: This option doesn't align with the symptom of hypernatremia (elevated sodium levels) but suggests low sodium levels (hyponatremia), which would have different symptoms.

C. Hyponatremia and Syndrome of Inappropriate Antidiuretic Hormone (SIADH): This option also suggests low sodium levels (hyponatremia) and a different condition (SIADH) characterized by water retention and dilution of the blood, which is not consistent with the described symptoms.

D. Hypernatremia and Syndrome of Inappropriate Antidiuretic Hormone (SIADH): This option suggests high sodium levels (hypernatremia) but includes SIADH, which would not result in high urinary output. SIADH is characterized by excessive retention of water, leading to low urinary output and concentrated urine.

A. Broccoli B. Chicken C. Lean Steak D. Carrots E. Whole Milk

Correct Answer is ["B","C"]

Explanation

Iron-rich foods that should be recommended for a toddler with iron deficiency anemia include:

B. Chicken: Chicken, especially dark meat, is a good source of heme iron, which is easily absorbed by the body.

C. Lean Steak: Lean beef, such as steak, is also a good source of heme iron.

Non-heme iron from plant-based sources is also beneficial but is generally less easily absorbed. So, the following options are non-heme iron sources:

A. Broccoli: While broccoli contains iron, it is a non-heme iron source. It can still contribute to iron intake, but it's not as efficient as heme iron from animal sources.

D. Carrots: Similar to broccoli, carrots contain non-heme iron, but they can be part of a balanced diet for increasing iron intake.

E. Whole Milk: Whole milk can interfere with iron absorption in the body. It's not recommended for children with iron deficiency anemia, as it can make the condition worse. It's better to choose lower-fat milk or alternative milk sources.

Additionally, other sources of iron-rich foods for toddlers can include fortified cereals, legumes (like lentils and beans), and fortified infant formulas if needed. Always consult with a healthcare provider for specific dietary recommendations based on the child's condition.

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The nurse is performing an admission assessment on the neonate and finds femoral pulses to be weaker than the brachial and radial pulses. The next nursing action should be

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Correct Answer is A

Explanation

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Correct Answer is ["B","C"]

Explanation

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