A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)
Right Atrial Enlargement
Left Atrial Enlargement
Shortness of breath.
Pulmonary hypertension
Pulmonary hypotension
Correct Answer : A,C,D
A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Antibiotics are not indicated for coarctation of the aorta.
B. Monitoring is important, but the immediate action is to notify the cardiologist for further intervention.
C. Balloon angioplasty is a potential treatment for coarctation of the aorta but would be decided by the cardiologist after assessment.
D. Coarctation of the aorta causes a narrowing of the aorta, leading to differences in blood pressure and pulse strength between the upper and lower extremities. The nurse should notify the cardiologist for further evaluation and management.
Correct Answer is ["A","C","D"]
Explanation
A. Right atrial enlargement occurs due to the increased blood flow from left to right shunting, which can cause volume overload in the right atrium.
B. Left atrial enlargement is typically seen in conditions that cause increased left atrial pressure, such as mitral valve disease or left-sided heart failure, not in ASD.
C. Shortness of breath is a common symptom due to increased blood flow to the lungs, which can lead to pulmonary congestion.
D. Pulmonary hypertension may develop over time due to increased blood flow and pressure in the pulmonary circulation from the left-to-right shunting of blood.
E. Pulmonary hypotension is not associated with ASD. The condition typically leads to increased pressure in the pulmonary arteries, not decreased pressure
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