A nurse is caring for a child with coarctation of the aorta. On assessment the nurse finds stronger pulses in the upper extremities than in the lower extremities. The blood pressure In the child's arms is higher than in the child's legs. Which of the following is a priority Intervention the nurse should implement?

Administer intravenous antibiotics

Continue to monitor the child for complications

Prepare for a balloon angioplasty

Notify the cardiologist of the findings

Answer and Explanation

The Correct Answer is D

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.

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Correct Answer is B

Explanation

A. The temperature of the cast is important to check for heat retention but is not the first priority for infection control.
B. Assessing skin integrity around the cast is a priority to detect signs of infection, irritation, or pressure sores.
C. Range of motion is important but should be assessed once the skin and safety around the cast are ensured.
D. While pain level is important, ensuring skin integrity is a higher priority for preventing complications such as infection.

A. Bradycardia. B. Cyanosis. C. Weak pulses. D. Widened pulse pressure.

Correct Answer is D

Explanation

A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A child with a cast is at risk for complications. Which of the following assessment findings should the nurse prioritize in ensuring safety and infection control?

Correct Answer is B

Explanation

A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

A nurse is assessing a five-month-old Infant. The nurse should recognize that which of the following manifestations is associated with a central nervous system (CNS) Infection?

A nurse notices a school-age child with leukemia experiencing severe nausea and vomiting when receiving chemotherapy for the first time. Which is the most appropriate nursing action to prevent or minimize these reactions with subsequent treatments?

A nurse is assessing an infant following a motor vehicle crash. Which of the following findings indicate increased intracranial pressure in an Infant?

A nurse is teaching a group of pregnant clients about health screening during pregnancy. When discussing Alpha-fetoprotein (AFP) testing, which of the following statements should be included in the education?