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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Taking pancrelipase is important for digestion in clients with cystic fibrosis, but it is not directly related to postural drainage. This medication is taken with meals to help with nutrient absorption rather than respiratory care.
B) Completing oral hygiene is generally good practice for overall health but does not specifically prepare the client for postural drainage. It does not impact the effectiveness of the drainage technique.
C) Eating a meal right before postural drainage is not advisable, as it may cause discomfort during the procedure. It's often recommended to wait after eating to allow for better clearance of mucus.
D) Using an albuterol inhaler prior to postural drainage is beneficial because it helps to open the airways, making it easier to clear mucus during the procedure. This action optimizes the effectiveness of postural drainage and is a standard practice in managing cystic fibrosis.
4o mini
Correct Answer is B
Explanation
A) "The client is exceptionally clingy to others.": While individuals with borderline personality disorder may have intense relationships, they are not typically described as "clingy" in the same way as those with dependent personality disorder. Instead, they may exhibit a fear of abandonment that leads to tumultuous relationships.
B) "The client exhibits impulsive behavior.": This statement accurately reflects a key characteristic of borderline personality disorder. Clients often engage in impulsive behaviors that can be self-destructive, such as spending sprees, substance abuse, or risky sexual activities. This impulsivity is a hallmark feature of the disorder.
C) "The client is overly concerned about minor details.": This behavior is more characteristic of obsessive-compulsive personality disorder rather than borderline personality disorder. Individuals with borderline personality disorder tend to struggle with emotional regulation and relationships rather than focusing on minor details.
D) "The client might act seductively.": While some individuals with borderline personality disorder may exhibit seductive behavior, it is not a defining characteristic of the disorder. This behavior can be a way to cope with feelings of emptiness or to seek validation, but it is not universally applicable to all clients with borderline personality disorder.
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