Practice Quiz

CCRN Critical Care Nursing

Category - Neonatal

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In the neonatal intensive care unit, the neonatal nurse on duty notes that one of the neonates is experiencing breathing difficulties. The neonatal nurse also notices that the neonate’s upper extremities appear pink while the lower extremities appear blue. What should be the next immediate management for the neonatal nurse on duty?
  1. Check the neonate’s temperature
  2. Start an intravenous line
  3. Ask for an order for an echocardiogram
  4. Check the blood pressure in the upper and lower extremities
Explanation
Answer: D - In a neonate whose upper extremities appear pink while their lower extremities appear blue; the next immediate management for the neonatal nurse on duty should be to check the blood pressure in the upper and lower extremities. The presenting signs may be an indication of coarctation of the aorta.
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