In a newborn nursery, a nurse indicates she hears a soft murmur ...

[Themember4]

In a newborn nursery, a nurse indicates she hears a soft murmur in one of the newborns. After obtaining blood pressures on all four extremities, she finds that the blood pressure is higher in the right arm than the right leg.
 
  The nurse knows this can indicate: 1. Nothing, as this is a normal finding.
   2. Coarctation of the aorta.
   3. Ventricular septal defect.
   4. Shock due to poor perfusion in the lower extremities.

Question 2

Keshia, a 10-year-old girl, was removed from a burning apartment complex and brought to the ER via the ambulance. The EMTs have reported that Keshia is struggling to breathe. The nurse knows that: (Select all that apply.)
 
  1. There could be an inhalation injury due to the smoke.
   2. She will need to be monitored on the pulse oximeter.
   3. The child will need emotional support while in the ER.
   4. The child should be placed on a cardiac monitor.
   5. The parents should not be allowed in the room until the child is stable.

[ryhom]

Answer to Question 1

2
Feedback
1. This is not a normal finding.
2. This is a predominant sign of COA due to a narrowing of the aortic arch after the innervation to the upper extremities, thus resulting in a lower blood pressure in the lower extremities.
3. This is not a sign of VSD.
4. Shock would indicate a low blood pressure in all extremities.

Answer to Question 2

1, 2, 3, 4
Feedback
1. Breathing struggles indicate inhalation injuries in this situation.
2. Monitoring the pulse oximeter will give aid in knowing if the patient needs oxygen support.
3. The child may need emotional assistance because of the situation.
4. The child should be placed on a cardiac monitor because of the respiratory compromise.
5. The parents should be allowed into the room to help calm the patient.

[Themember4]

Correct answers!

[ryhom]

Great! Please up vote