A nurse is assessing an infant who has a ventricular septal defect. Which of the following should the nurse expect?

Weak femoral pulses

High blood pressure

Dysrhythmias

Loud, harsh murmur

Answer and Explanation

The Correct Answer is D

A. Weak femoral pulses may be seen in other congenital heart defects but are not typically associated with VSD.

B. High blood pressure is not a typical finding in VSD, as the defect usually leads to increased blood flow to the lungs rather than systemic hypertension.

C. Dysrhythmias are not commonly associated with VSD unless there are other complicating factors.

D. A loud, harsh murmur is a classic finding in infants with a ventricular septal defect (VSD), due to the abnormal flow of blood through the hole in the septum.

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Correct Answer is ["B","D","E"]

Explanation

A. DIC can affect children of all ages, not just school-age children.
B. Risk factors of DIC include cancer and chemotherapy, which can trigger DIC due to the activation of clotting factors.
C. Lyme disease is not typically associated with DIC.
D. The most common cause of DIC in children is sepsis, which leads to widespread clotting and hemorrhage.
E. Treating the underlying cause of DIC, such as sepsis or cancer, is essential to resolving DIC and stopping the clotting cascade.

A. Urinary output 100 mL/hr B. Temperature 39.1C (102.4° F) C. Blood pressure 130/90 mm Hg D. Heart ráte 60/min

Correct Answer is B

Explanation

A. A urinary output of 100 mL/hr is within the expected range for a 10-year-old and does not indicate septic shock. In early septic shock, urinary output is often preserved or mildly decreased.

B. An elevated temperature (fever) is a hallmark of early septic shock as the body mounts an inflammatory response to infection. Fever often accompanies early sepsis in pediatric patients.

C. Blood pressure may remain normal or slightly elevated in early septic shock due to compensatory mechanisms. A BP of 130/90 mm Hg is not a defining feature.

D. A heart rate of 60/min is abnormally low for a 10-year-old and could indicate late-stage shock or other complications. In early septic shock, tachycardia (elevated heart rate) is typically observed.

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A nurse is assessing an infant who has a ventricular septal defect. Which of the following should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["B","D","E"]

Explanation

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Explanation

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