The nurse is conducting a physical examination of a child with a suspected cardiovascular disorder. Which of the following findings would the nurse most likely expect to assess if the child had transposition of the great vessels?
A) Significant cyanosis without presence of a murmur
B) Abrupt cessation of chest output with an increase in heart rate/filling pressure
C) Soft systolic ejection
D) Holosystolic murmur
A
Feedback:
Significant cyanosis without presence of a murmur is highly indicative of transposition. Abrupt cessation of chest output accompanied by an increase in heart rate and filling pressure is indicative of cardiac tamponade. A soft systolic ejection or holosystolic murmur can be found with other disorders, such as hypoplastic left heart syndrome, but is not highly suspicious of transposition.
You might also like to view...
A child diagnosed with severe autistic spectrum disorder has the nursing diagnosis disturbed personal identity. Which outcome would best address this client diagnosis?
1. The client will name own body parts as separate from others by day five. 2. The client will establish a means of communicating personal needs by discharge. 3. The client will initiate social interactions with caregivers by day four. 4. The client will not harm self or others by discharge.
From genetic testing, a fetus is determined to have genetic trisomy. The nurse realizes that the most common trisomy condition is:
1. Down syndrome. 2. Edward syndrome. 3. Marfan syndrome. 4. Patau syndrome.
The nurse assess a female client following a hysterectomy in the postanesthesia recovery.. a.. cool, and slightly diaphoretic. Her BP is 92/68 and her pulse is 108 and thready. What initial action should the nurse take?
A. Replace the client's nasal cannula with face mask to increase available oxygen. B. Check the client's surgical dressing and estimate the current level of blood loss C. Obtain a prescription for a dopamine (Intropin) infusion from the anesthesiologist. D. Perform a venipuncture to type and crossmatch the client for a blood transfusion
A 7-year-old patient who has severe asthma takes oral prednisone daily. At a well-child examination, the primary care NP notes a decrease in the child's linear growth rate. The NP should consult the child's asthma specialist about:
a. gradually tapering the child off the prednisone. b. a referral for possible growth hormone therapy. c. giving a double dose of prednisone every other day. d. dividing the prednisone dose into twice-daily dosing.