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

Answer and Explanation

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.

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Correct Answer is D

Explanation

Rationale:

A. Headache can be a common side effect of magnesium sulfate but is usually not concerning unless severe or persistent.

B. A fetal heart rate of 158/min is within the normal range for a fetus and is not typically associated with magnesium sulfate administration.

C. Respirations of 16/min are within the normal range and are not typically associated with magnesium sulfate administration.

D. A urinary output of 40 mL in 2 hours is significantly reduced and may indicate magnesium toxicity or impaired renal function, which should be reported to the provider for further

evaluation and management.

A. Provide information on child development to the caregiver on when a child should be able to use an inhaler without supervision. B. Provide the child with a pamphlet on how to use an inhaler, C. Teach the child how to use the inhaler. D. Refer the caregiver to the asthma educator. E. Ask the caregiver, "what worries you about your 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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A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia.Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse in an acute pediatric unit is assessing a 5-year-old child following an asthma event. The child's caregiver expects the child to use an inhaler without supervision. The nurse can apply which of the following interventions as protective factors for the child?

Correct Answer is ["A","C","D","E"]

Explanation

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