The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Upon auscultation, clear bilateral breath sounds.

Dyspnea.

Upon auscultation a machine-like murmur in the right upper sternal border.

Cyanosis.

Difficulty feeding

Answer and Explanation

Correct Answer : B,C,E

A.   Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B.   Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C.   A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D.   Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E.   Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Using antibacterial soap may be too harsh and could irritate the skin.
B. Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C. Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D. Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.

A. Computed tomography scan (CT scan) B. Electroencephalogram (EEG) C. Analysis of Cerebral Spinal Fluid (CSF) D. Blood Culture & Sensitivity (C&S)

Correct Answer is C

Explanation

A. A CT scan is not typically used to assess febrile seizures or to diagnose meningitis in this context. CSF analysis is more relevant.
B. While an EEG could be helpful for diagnosing seizures, it is not the priority in this case where an infection (meningitis) is suspected.
C. As mentioned in question 36, CSF analysis is essential in diagnosing meningitis, especially in infants presenting with seizures and fever. The nurse would anticipate this as the most appropriate diagnostic test to confirm meningitis or other CNS infections.
D. Blood cultures are helpful for identifying systemic infection but are not the first step in diagnosing meningitis, where CSF analysis is more specific.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A school nurse is providing teaching to an adolescent client about the management of acne. Which of the following should the nurse include in the Instructions?

Correct Answer is C

Explanation

A nurse is assessing a 5-month-old infant who has had a seizure and high pitched crying with a high fever. The nurse anticipates the need for which diagnostic testing?

Correct Answer is C

Explanation

A nurse is caring for a client who has a defect that allows blood flow from the left side to the right side of the heart through an abnormal connection. Which of the following defect results in increased pulmonary blood flow?

A child with leukemia is receiving intrathecal chemotherapy. The nurse should recognize that intrathecal chemotherapy will prevent which of the following?

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

7-year-old male with sudden scrotal pain reports to the Emergency department with his parent. Exhibits A Nurse is caring for a 7-year-old child with sudden onset of testicular pain. The nurse is aware that the pain may be a testicular torsion and assesses for what?

A nurse on a cardiac care unit is caring for a preschooler Exhibits select words from the choices below to fill in each blank in the following The client is at risk for developing dropdown and dropdown

A nurse is caring for a child who is having a tonic-clonic seizure. What is the nurse's priority action during the seizure?

A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?