When assessing a child with coarctation of the aorta, the nurse ...

[ap345]

When assessing a child with coarctation of the aorta, the nurse should perform assessments to all of the follow areas except:
 
  1. Blood pressure in all of the extremities.
   2. Monitoring the perfusion to the extremities.
   3. Pre-assessment for Digoxin before giving the prescribed doses.
   4. Assessing the narrowing pulse pressures.

Question 2

A 9 year old is in the ER. His mother has brought him because of a leg injury. The child has been diagnosed with cellulitis. The nursing plan of care would include all of the following except:
 
  1. Vital signs, including a heart rate, should be taken every 2 to 4 hours to monitor for furthering infection.
   2. Assessing perfusion to the extremity.
   3. Keeping the leg in a dependent position.
   4. Encouraging oral fluids.

[cat123]

Answer to Question 1

4
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1. Blood pressure will greatly differ in the upper extremities versus the lower extremities.
2. Perfusion to the lower extremities will be worse than in the upper extremities.
3.

Digoxin should always have a pre-assessment of an apical pulse for one minute.
4. Pulse pressures do not give adequate data for a child with coarctation of the aorta.

Answer to Question 2

3
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1. Vital sign changes can indicate furthering infection
2. Perfusion indicates if the tissue is receiving the adequate nutrition it needs to heal.
3. Keeping the leg in a dependent position allows for blood pooling and does not help the healing process.
4. Oral fluids help the patient stay hydrated during this time.

[ap345]

TYSM

[coreycathey]

Excellent