A nurse is assessing an infant who has patent ductus arteriosus. Which of the following findings should the nurse expect?
Decreased heart rate
Increased temperature
Increased respiratory rate
Decreased systolic blood pressure
The Correct Answer is C
A. Decreased heart rate: Infants with patent ductus arteriosus often experience increased cardiac workload due to left-to-right shunting. This typically leads to tachycardia rather than a decreased heart rate as the heart compensates to maintain adequate cardiac output.
B. Increased temperature: Patent ductus arteriosus is a cardiac condition and does not directly cause fever. An elevated temperature would more likely indicate infection or another inflammatory process rather than a hemodynamic effect of the defect.
C. Increased respiratory rate: Left-to-right shunting in patent ductus arteriosus increases pulmonary blood flow, leading to pulmonary congestion and respiratory distress. This commonly presents as tachypnea, especially during feeding or activity, making an increased respiratory rate an expected finding.
D. Decreased systolic blood pressure: Infants with PDA more commonly have widened pulse pressure due to diastolic runoff into the pulmonary circulation. A decreased systolic blood pressure is not a typical or expected assessment finding in this condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Hematemesis: Vomiting blood is not a typical finding in celiac disease. Celiac disease primarily affects the small intestine’s ability to absorb nutrients rather than causing gastrointestinal bleeding.
B. Malnutrition: Malnutrition is a common finding in children with celiac disease due to malabsorption of essential nutrients. This can manifest as poor growth, weight loss, fatigue, and deficiencies in vitamins and minerals, reflecting the chronic impact of gluten-induced intestinal damage.
C. Red currant jelly-like stools: This type of stool is characteristic of intussusception, not celiac disease. It indicates intestinal obstruction and is unrelated to the chronic malabsorption seen in celiac disease.
D. Sausage-shaped mass in the upper right abdomen: A palpable sausage-shaped mass is typically associated with intussusception rather than celiac disease. Celiac disease does not usually cause palpable abdominal masses, but may present with a distended abdomen due to bloating or fluid accumulation.
Correct Answer is B
Explanation
A. Administer diuretics with the toddler's lunch: Giving diuretics with meals can increase urination, potentially disrupting rest and sleep. Timing medications to avoid frequent nighttime awakenings is important to help the toddler maintain adequate rest.
B. Establish a daily schedule with the toddler and their family: Creating a consistent daily routine helps the toddler anticipate activities and rest periods, reducing fatigue and promoting better sleep. Structured schedules are especially important for children with heart failure to balance activity and rest effectively.
C. Keep the television on in the toddler's room: Continuous television exposure can overstimulate the toddler and interfere with the ability to rest. A calm, quiet environment is more conducive to promoting restorative rest and reducing fatigue in children with heart failure.
D. Allow the toddler to visit the playroom 30 min prior to bedtime: Engaging in stimulating activities immediately before bedtime can make it harder for the toddler to fall asleep. Limiting high-energy play before rest periods supports better sleep and helps manage heart failure-related fatigue.
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