A nurse is caring for an infant who has coarctation of the aorta.
Which of the following should the nurse identify as an expected finding?

Frequent nosebleeds.

Upper extremity hypotension.

Weak femoral pulses.

Increased intracranial pressure.

Answer and Explanation

The Correct Answer is C

This is because coarctation of the aorta is a congenital condition where the aorta is narrow, usually in the area where the ductus arteriosus inserts. This causes a decrease in blood flow to the lower body, resulting in weak or absent pulses in the femoral arteries.

The other choices are incorrect for the following reasons:

Choice A is not a typical sign of coarctation of the aorta.

Nosebleeds can be caused by many factors, such as dry air, allergies, trauma, or bleeding disorders.

Choice B is also not a common finding in coarctation of the aorta. In fact, patients with this condition may have high blood pressure in the upper extremities due to the increased resistance of the narrowed aorta.

Choice D is not directly related to coarctation of the aorta.

Increased intracranial pressure can be caused by various conditions that affect the brain, such as head injury, stroke, infection, or tumor.

Normal ranges for blood pressure and pulse vary depending on age, sex, and health status. However, some general guidelines are:

Blood pressure: less than 120/80 mmHg for adults; less than 95/65 mmHg for infants.
Pulse: 60 to 100 beats per minute for adults; 100 to 160 beats per minute for infants.

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Correct Answer is D

Explanation

A firewall is a system that protects the network from unauthorized access and prevents data breaches. A firewall is essential for ensuring the confidentiality, integrity, and availability of electronic health records.
Choice A is wrong because the nurse should change their password more frequently than once per year. Changing passwords regularly reduces the risk of unauthorized access and enhances security.
Choice B is wrong because the documentation of sensitive material is not performed by the charge nurse. The nurse who provides the care should document it accurately and promptly in the computerized system.
Choice C is wrong because the nurse will not be given access to the medical records of every client in the facility. The nurse should only access the records of the clients they are assigned to care for, following the principle of need-to-know.

A. Potassium level. B. Temperature. C. WBC count. D. Breath sounds. E. Blood pressure.

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

Explanation

B, C, and D. These findings require follow-up because they indicate possible complications of chemotherapy, such as infection, low blood cell counts, and lung damage.

Choice B is correct because a temperature of 38.6° C (101.5° F) is a sign of fever, which can indicate an infection. Chemotherapy can weaken the immune system and make the client more prone to infections.

Choice C is correct because a WBC count of 3,800/mm3 is below the normal range of 5,000 to 10,000/mm3 and indicates leukopenia, a condition of low white blood cells. Chemotherapy can cause leukopenia by damaging the bone marrow where blood cells are produced.

Choice D is correct because crackles heard at the bases of the lungs are abnormal breath sounds that can indicate fluid accumulation or inflammation in the lungs. Chemotherapy can cause lung damage by affecting the cells that line the airways or by triggering an immune response.

Choice A is wrong because a potassium level of 3.6 mEq/L is within the normal range of 3.5 to 5 mEq/L and does not require follow-up.

Choice E is wrong because a blood pressure of 114/56 mm Hg is within the normal range of less than 120/80 mm Hg and does not require follow-up.

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A nurse is caring for an infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding?

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Naxlex Comprehensive Predictor Exams

A charge nurse is teaching a newly licensed nurse about the facility’s computerized documentation system. Which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client Exhibits A nurse is reviewing the client's electronic medical record. Which of the following findings requires follow-up? Select all that apply.

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

Explanation

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A nurse is caring for an infant who has coarctation of the aorta.
Which of the following should the nurse identify as an expected finding?