What finding would the nurse expect when measuring blood pressure on all four extremities of a child with coarctation of the aorta?
a. Blood pressure higher on the right side
b. Blood pressure higher on the left side
c. Blood pressure lower in the arms than in the legs
d. Blood pressure lower in the legs than in the arms
ANS: D
The characteristic symptoms of coarctation of the aorta are a marked difference in blood pressure and pulses between the upper and lower extremities. Pressure is increased proximal to the defect and decreased distal to the coarctation.
You might also like to view...
The nurse is caring for a client following cardiac valve replacement. Which nursing action is correct when obtaining a Homan's sign to screen for thrombophlebitis?
A) Adduction of the lower extremity B) Assess the pulse on the dorsal aspect of the foot C) Dorsiflexion of the foot noting calf pain D) Rotation of the knee noting pain
A patient with an ocular prosthesis (artificial eye) requires a nurse's help removing it for cleaning. The nurse assists the patient by
1. Removing the prosthesis like a thick contact lens. 2. Unscrewing the prosthesis from the eye socket. 3. Using a small suction cup on a hollow handle to help remove the prosthesis. 4. Pressing on either side of the prosthesis until it pops out.
The patient considering a vasectomy tells the nurse he is afraid he will be impotent after the surgery. Which statement(s) accurately describe expected outcomes of the procedure? (select all that apply.)
a. The procedure will cause sterility without changes in potency. b. The procedure will have a minor impact on libido. c. The procedure will not impact perfor-mance. d. The procedure will not impact ejaculate volume. e. The procedure will leave some sperm for several weeks.
The health care team is planning care for a client hospitalized following a suicide attempt. Which statement by a team member should serve as a basis for planning?
1. "A client who has made a recent suicide attempt is at low risk for another at-tempt." 2. "A client who has made a recent suicide attempt is at very high risk for another attempt." 3. "A client who has made a recent suicide attempt requires ongoing assessment to determine the level of risk." 4. "A client who has made a recent suicide attempt may be at risk for 24 hours until medication takes effect."