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
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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Related Questions
Correct Answer is A
Explanation
A. Large soaking tub without a shower head: This poses a potential risk for injury. A large soaking tub can make it difficult for the client to safely enter and exit, increasing the risk of falls, especially after a total hip arthroplasty.
B. No stairs in the home: This is actually a positive finding, as having no stairs reduces the risk of falls and injury for the client during their recovery.
C. Elevated toilet seats: Elevated toilet seats are generally considered beneficial for clients recovering from hip surgery, as they make it easier to sit down and stand up, reducing strain on the hip.
D. Reclining chair with a straight back: This is also a positive finding. A reclining chair can provide comfort and support, and a straight back can promote proper posture during recovery.
Correct Answer is D
Explanation
A) “You should give your child a clear liquid diet for 24 hr.”:A clear liquid diet is not typically required following a cardiac catheterization. The child can usually resume a regular diet unless otherwise instructed by the healthcare provider.
B) “Your child can take a tub bath this evening.”:Tub baths should be avoided immediately after a cardiac catheterization to prevent infection at the catheter insertion site. Sponge baths are usually recommended until the site has healed.
C) “Your child should stay out of school for 7 days following the procedure.”:While some rest is necessary, staying out of school for 7 days is generally not required. The child can usually return to school within a few days, depending on their recovery and the healthcare provider’s advice.
D) “You should remove your child’s pressure dressing tomorrow.”:Removing the pressure dressing the day after the procedure is a common instruction. It allows the site to be inspected for any signs of infection or complications and ensures proper healing.
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