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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Measuring abdominal girth is important in monitoring for abdominal distension, but the passing of a normal brown stool suggests that the intussusception may have resolved.
B. Passing a normal stool is a potential indication that the intussusception has spontaneously reduced, and the healthcare provider should be notified to reassess the plan of care.
C. Moving forward with the procedure may not be necessary if the intussusception has resolved, as indicated by the normal stool.
D. Auscultating for bowel sounds is important but would not be the primary action in this situation, as the passing of stool is a more immediate clue.
Correct Answer is B
Explanation
A. Tetralogy of Fallot involves decreased pulmonary blood flow due to a combination of defects, including pulmonary stenosis.
B. Patent ductus arteriosus (PDA) causes increased pulmonary blood flow due to the abnormal persistence of the ductus arteriosus, leading to a left-to-right shunt and increased blood flow to the lungs.
C. Coarctation of the aorta causes obstructed blood flow, not increased pulmonary blood flow.
D. Tricuspid atresia results in decreased pulmonary blood flow as well due to the lack of a functional tricuspid valve.
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