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 C

Explanation

A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.

B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.

C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.

D. A heart rate of 72/min is normal and does not indicate immediate concern.

A. Decrease pancreatic enzymes if steatorrhea develops. B. Limit fluid intake to 750ml per day. C. Increase fat content in the child's diet to 40% of total calories. D. Administer pancreatic enzymes 2 hr after meals.

Correct Answer is C

Explanation

A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.

B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.

C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.

D. Pancreatic enzymes should be administered with meals, not two hours after.

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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 C

Explanation

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Correct Answer is C

Explanation

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