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 B
Explanation
Rationale:
A. This response doesn't address the client's feelings of fear and reluctance to talk to their parents.
B. This response acknowledges the client's emotions and opens up the conversation for further exploration.
C. While this statement is true, it doesn't address the client's emotional state or concerns.
D. This option dismisses the client's feelings and doesn't offer support or guidance.
Correct Answer is C
Explanation
Rationale:
A. Applying petroleum jelly to the cord stump is not recommended as it can delay drying and increase the risk of infection.
B. Washing the cord stump daily with soap and water is not recommended as it can also delay drying and increase the risk of infection. Keeping the cord stump clean and dry is important.
C. Giving a sponge bath until the cord stump falls off helps keep the area clean and dry, reducing the risk of infection. Immersion in water should be avoided until the cord stump has completely dried and fallen off.
D. Covering the cord stump with the diaper can lead to moisture buildup, which increases the risk of infection. It's best to fold the diaper down below the cord stump to keep it exposed to air and allow for faster drying.
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