A nurse is assessing a 3•year.old child who has aortic stenosis. Which of the following findings should the nurse expect? (Select all that apply).
Murmur
Bradycardia
Hypotension
Clubbing of the nail beds
Weak pulses
Correct Answer : A,C,E
A. Murmur – Correct. Aortic stenosis typically causes a systolic murmur.
B. Bradycardia – Incorrect. Aortic stenosis usually leads to tachycardia due to decreased cardiac output.
C. Hypotension – Correct. Decreased blood flow from the heart can result in low blood pressure.
D. Clubbing of the nail beds – Incorrect. Clubbing is more commonly associated with chronic hypoxia, as seen in cyanotic heart defects.
E. Weak pulses – Correct. Reduced cardiac output can lead to weak or thready peripheral pulses.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Calculate the total volume to be infused: 150 mL/hr.
Convert hours to minutes: 1 hour = 60 minutes.
Calculate the flow rate in mL/min: 150 mL/hr / 60 min/hr = 2.5 mL/min.
Apply the drop factor: 2.5 mL/min * 20 gtt/mL = 50 gtt/min.
Correct Answer is D
Explanation
A. Change the formula to a nonmilk option to decrease colic symptoms. – Incorrect. Formula changes are not always necessary unless the infant has a suspected milk allergy.
B. Avoid holding or cuddling my baby to prevent colic symptoms. – Incorrect. Comforting measures like rocking can actually help soothe a colicky baby.
C. Give my baby a warm bath before bedtime to soothe colic symptoms. – Incorrect. While a warm bath may be comforting, burping is a more direct way to reduce gas buildup.
D. Burp my baby often during feedings to reduce gas. – Correct. Frequent burping helps prevent air accumulation, which can contribute to colic.
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