A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?
Weak pulses
Chronic hypoxemia
Systolic murmur
Cyanosis with crying
The Correct Answer is C
Rationale:
A. Weak pulses are not typically associated with a large patent ductus arteriosus. Instead, bounding pulses may be observed due to increased blood flow to the lower extremities.
B. Chronic hypoxemia may occur in some cases of patent ductus arteriosus, but it is not a specific manifestation typically associated with this condition.
C. Systolic murmur is a common finding in newborns with a large patent ductus arteriosus. This murmur is often continuous with the second heart sound and may be heard best at the left upper sternal border.
D. Cyanosis with crying is not typically associated with patent ductus arteriosus. Cyanosis may occur in other cardiac defects but is not a specific finding for patent ductus arteriosus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. Asking a psychiatrist to talk with the parents may not be the most appropriate immediate
action when abuse is suspected. Reporting to the authorities should take precedence to ensure the child's safety.
B. Obtaining a detailed history is important but should be done after reporting the suspected abuse to the authorities.
C. Separating the child from the parents may not be feasible or appropriate in all situations.
Reporting to the authorities is the priority action to ensure proper investigation and protection of the child.
D. Report the suspected abuse to the authorities. Suspected child abuse must be reported
immediately to the appropriate authorities, such as child protective services or law enforcement, for further investigation and intervention to ensure the safety and well-being of the child.
Correct Answer is ["A","C","D","E"]
Explanation
A. Providing information on child development helps the caregiver set realistic expectations about when a child is developmentally ready to self-administer medications independently.
B. Giving a pamphlet to a 5-year-old is not effective, since children at this age typically cannot read or fully comprehend instructions.
C. Teaching the child how to use the inhaler supports skill-building and fosters independence while still requiring supervision.
D. Referring the caregiver to an asthma educator ensures they receive specialized guidance for ongoing asthma management.
E. Asking the caregiver about their worries encourages open communication, strengthens trust, and allows the nurse to address specific concerns.
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