BACHELOR IN SCIENCE IN NURSING Study Guide - Midterm Guide: Psychomotor Agitation, Psychomotor Retardation, Descending Aorta
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Nursing comprehensive exam 100 items with answers and rationale: in a child with suspected coarctation of the aorta, the nurse would expect to find, strong pedal pulses, diminishing carotid pulses, normal femoral pulses, bounding pulses in the arms. The correct answer is d: bounding pulses in the arms. Coarctation of the aorta, a narrowing or constriction of the descending aorta, causes increased flow to the upper extremities (increased pressure and pulses: the nurse is caring for a child receiving chest physiotherapy (cpt). The correct answer is c: confine the percussion to the rib cage area. Percussion (clapping) should be only done in the area of the rib cage: a client was admitted to the psychiatric unit with major depression after a suicide attempt. In addition to feeling sad and hopeless, the nurse would assess for: anxiety, unconscious anger, and hostility, guilt, indecisiveness, poor self-concept, psychomotor retardation or agitation, meticulous attention to grooming and hygiene.