When assessing a child for any possible cardiac anomalies, the nurse takes the right arm blood pressure (BP) and the BP in one of the legs. She finds that the right arm BP is greater than that found in the child's leg
The nurse reacts to these findings in which of the following ways? a. charts the findings and realizes they are normal
b. suspects the child may have coarctation of the aorta
c. places the child in the Trendelenburg position
d. notifies the physician and alerts the surgery team
B
Feedback
A Incorrect. Theses findings are not normal.
B Correct. A right arm BP greater than a leg BP is indicative of coarctation of the aorta. Normally lower extremity BP is equal to or greater than arm BP.
C Incorrect. The definitive treatment for coarctation of the aorta is relief of the obstruction by either surgery or balloon dilation. Placing the child in the Trendelenburg position in an incorrect nursing action.
D Incorrect. The nurse should notify the physician of the BP findings but would not alert the surgery team since this is not an emergency situation. Treatment of the symptomatic newborn depends on the severity of the coarctation, symptomatology, degree of congestive heart failure, and systemic circulation.
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