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

Increased intracranial pressure

Upper extremity hypotension

Weak femoral pulses

Answer and Explanation

The Correct Answer is D

A. Frequent nosebleeds: While hypertension can occur in coarctation of the aorta, frequent nosebleeds are not a typical finding associated with this condition.

B. Increased intracranial pressure: This is not a direct finding of coarctation of the aorta. Increased intracranial pressure may be related to other conditions, but it is not specifically expected in this context.

C. Upper extremity hypotension: In coarctation of the aorta, the upper extremities usually experience higher blood pressure due to the narrowing of the aorta distal to the branches supplying the arms. Therefore, hypotension in the upper extremities is not expected.

D. Weak femoral pulses: This is an expected finding in coarctation of the aorta, as the narrowing of the aorta can lead to decreased blood flow to the lower body, resulting in weak or diminished femoral pulses compared to the upper extremities.

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Correct Answer is D

Explanation

A) Document assessment findings and interventions after providing care for a group of clients:Delaying documentation until after providing care for a group of clients can lead to incomplete or inaccurate records. Timely documentation is essential for maintaining accurate client records and ensuring continuity of care.

B) Delay cleaning personal work area until the end of the shift:Delaying the cleaning of the personal work area can lead to disorganization and potential safety hazards. Maintaining a clean and organized work area throughout the shift helps improve efficiency and safety.

C) Gather supplies for a client’s dressing change after removing the old dressing:Gathering supplies after removing the old dressing can lead to delays and increased risk of infection. It is more efficient to gather all necessary supplies before starting the procedure to ensure a smooth and timely dressing change.

D) Complete activities for one client before moving to the next client:Completing activities for one client before moving to the next client helps ensure that each client receives focused and uninterrupted care. This approach minimizes the risk of errors and enhances time management by reducing the need to switch tasks frequently.

A. Fasting blood glucose 100 mg/dL B. Hgb 14 g/dL C. Heart rate 58/min D. WBC count 2,900/mm3

Correct Answer is D

Explanation

A. Fasting blood glucose 100 mg/dL: This level is within the normal range and does not contraindicate the use of clozapine. Monitoring blood glucose is important due to the risk of metabolic syndrome, but a normal level is not a concern.

B. Hgb 14 g/dL: Hemoglobin levels in this range are normal and indicate adequate oxygen-carrying capacity. This finding does not contraindicate the use of clozapine.

C. Heart rate 58/min: A heart rate of 58 beats per minute is considered bradycardic but does not directly contraindicate the use of clozapine. Monitoring cardiovascular health is important, but this alone is not a reason to withhold the medication.

D. WBC count 2,900/mm³: This finding is significant because clozapine can cause agranulocytosis, a potentially life-threatening decrease in white blood cells. A WBC count below 3,000/mm³ is a contraindication for clozapine administration, as it increases the risk of infection and other complications. Therefore, this finding indicates that clozapine should not be administered.

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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

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