A nurse is reinforcing the provider's explanation about treatment options to the parents of a 1-month-old who has coarctation of the aorta. Which of the following statements should the nurse include?
"The obstruction will be treated with a medication called indomethacin."
"Surgical repair is the recommended treatment for infants younger than 6 months old."
"The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant."
"Most cases resolve spontaneously without treatment by 12 months of age."
The Correct Answer is B
A. "The obstruction will be treated with a medication called indomethacin." Indomethacin is used to close a patent ductus arteriosus (PDA), not to treat coarctation of the aorta. Instead, prostaglandins may be used temporarily to keep the ductus arteriosus open and improve blood flow until surgery.
B. "Surgical repair is the recommended treatment for infants younger than 6 months old." Coarctation of the aorta does not resolve on its own and requires surgical intervention, typically within the first few months of life. Options include resection with end-to-end anastomosis or balloon angioplasty in some cases.
C. "The cardiologist will monitor your infant closely until they are able to receive treatment with a heart transplant." Heart transplant is not the standard treatment for coarctation of the aorta; surgery or catheter-based intervention is the preferred approach.
D. "Most cases resolve spontaneously without treatment by 12 months of age." Coarctation of the aorta does not resolve on its own. If left untreated, it can lead to heart failure, hypertension, and other complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Attach the bag first to the perineum, then to the skin above the urethra." Proper technique involves first securing the collection bag to the perineum to ensure a snug fit, then pressing it firmly to the surrounding skin to prevent leaks.
B. "Remove the bag 1 hr after the infant voids." The bag should be removed as soon as sufficient urine is collected to avoid contamination or leakage.
C. "Place absorbent cotton balls inside the bag." Absorbent materials would absorb the urine, making it difficult to retrieve an adequate sample for testing.
D. "Apply petroleum jelly to the perineum before applying the bag." Petroleum jelly could prevent the bag from adhering properly, leading to leakage or contamination.
Correct Answer is B
Explanation
A. "I will lay my baby on their side to sleep for naps." The supine (on the back) position is the safest for sleep to reduce the risk of SUIDS.
B. "I will dress my baby in lightweight clothing to sleep." Overheating is a risk factor for SUIDS. Lightweight clothing helps prevent overheating and promotes safe sleep.
C. "I will have my baby sleep next to me in bed during the night." Bed-sharing increases the risk of suffocation and SUIDS. Room-sharing with a separate sleep surface is recommended.
D. "I will move my baby's stuffed animal to the corner of their crib while they sleep." Soft objects, including stuffed animals and blankets, should not be in the crib at all to reduce the risk of suffocation.
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