The nurse finds that an infant has stronger pulses in the upper extremities than in the lower extremities, and higher blood pressure readings in the arms than in the legs. This could be indicative of what heart defect?
1. Patent ductus arteriosus
2. Atrial septal defect
3. Transposition of the great vessels
4. Coarctation of the aorta
4
Rationale:
1. These defects are not associated with blood pressures that are different in upper and lower extremities.
2. These defects are not associated with blood pressures that are different in upper and lower extremities.
3. These defects are not associated with blood pressures that are different in upper and lower extremities.
4. Coarctation of the aorta can present with stronger pulses in the upper extremities than in the lower extremities and higher blood pressure readings in the arms than in the legs because of obstruction of circulation to the lower extremities.
Assessment
Physiological Integrity
Analysis
Learning Outcome 26.3 Describe the pathophysiology associated with congenital heart defects associated with increased pulmonary circulation, decreased pulmonary circulation, mixed defects, and obstructed systemic blood flow.
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