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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The nurse should encourage open communication and allow the adolescent to express their emotions about the amputation. This provides emotional support and helps the child process the upcoming surgery.
B. Encouraging immediate return to physical activities may not be realistic or helpful right after surgery.
C. Assisting the adolescent in accepting the procedure as a better alternative to chemotherapy may minimize the emotional aspects of the situation and is not an ideal approach.
D. Avoiding the topic of the procedure can increase anxiety and delay the emotional preparation needed for the surgery.
Correct Answer is ["B","D","E"]
Explanation
A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.
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