Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?
Recording an upper extremities,
Assessing for the presence of femoral pulses
Observing for excessive crying
Auscultating for a cardiac murmur
The Correct Answer is A
A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.
B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.
C. Excessive crying is not a specific indicator of coarctation of the aorta.
D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.
B. While continuing to assess for bleeding is important, immediate notification of the healthcare provider takes precedence to address potential complications.
C. Suctioning the throat might be contraindicated and could increase the risk of further bleeding.
D. Encouraging coughing is not appropriate as it could increase bleeding risk.
Correct Answer is C
Explanation
A. While play therapy can be beneficial, it is not the primary focus for a 10-year-old child’s psychosocial needs related to Erikson’s stage.
B. Encouraging visits from friends supports the child's need for social interaction, which is important for psychosocial development during hospitalization.
C. Encouraging the child to complete school work helps maintain a sense of normalcy and supports the child’s need for achievement and competence, which is central to Erikson’s stage of industry vs. inferiority.
D. Consistency is important, and varying the child's schedule may add stress rather than support their psychosocial needs.
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