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A nurse is caring for a neonate born with a congenital heart abnormality.
To better help the parents understand the impact of this disorder, the nurse begins by describing the unusual flow of blood through the heart which takes what course?

Deoxygenated blood from the lungs enters the left atrium through the pulmonary artery.

Deoxygenated blood from the lungs enters the right atrium through the pulmonary artery.

Oxygenated blood from the lungs enters the right atrium through the pulmonary veins.

Oxygenated blood from the lungs enters the left atrium through the pulmonary veins.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Deoxygenated blood from the lungs would not flow to the left atrium or through the pulmonary artery.

Choice B rationale

Deoxygenated blood from the lungs would not enter the right atrium or flow through the pulmonary artery.

Choice C rationale

Oxygenated blood from the lungs does not enter the right atrium through the pulmonary veins.

Choice D rationale

Correct, oxygenated blood from the lungs enters the left atrium through the pulmonary veins.

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Correct Answer is C

Explanation

Choice A rationale

Monitoring the weekly pulse is not sufficient for managing ventricular arrhythmias at home. Continuous or daily monitoring of vital parameters is more effective.

Choice B rationale

Monitoring daily fluid intake is essential for overall health but not directly related to the management of ventricular arrhythmias with propranolol (Inderal).

Choice C rationale

Daily blood pressure monitoring is crucial for patients on propranolol, as this medication can significantly lower blood pressure, and tracking it helps prevent hypotension.

Choice D rationale

Weekly weight monitoring is important for patients with heart conditions, but daily monitoring of blood pressure is more directly related to the management of ventricular arrhythmias with propranolol.

A. Give ipecac with a glass of milk to increase emetic effect. B. Do not administer ipecac without consulting a poison control center. C. Use ipecac fluid extract and not ipecac syrup. D. Expect the impact of emesis to be immediate.

Correct Answer is B

Explanation

Choice A rationale

Giving ipecac with a glass of milk is not recommended. Milk can delay the emetic effect of ipecac and potentially interfere with its ability to induce vomiting. It is essential to follow proper guidelines for ipecac administration to ensure its effectiveness and safety.

Choice B rationale

Consulting a poison control center before administering ipecac is crucial. Poison control experts can provide specific recommendations based on the type and amount of substance ingested. Not all poisoning cases require ipecac, and its inappropriate use can cause more harm than good.

Choice C rationale

Ipecac fluid extract is significantly more potent than ipecac syrup and is not recommended for home use. The syrup form is standardized for safe administration in inducing vomiting, whereas the fluid extract can cause severe toxicity if used incorrectly.

Choice D rationale

The emetic effect of ipecac is not immediate. It typically takes about 20 to 30 minutes for vomiting to occur after administration. Providing patients and caregivers with accurate information about the onset of action is essential to avoid unnecessary anxiety.

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A nurse is caring for a neonate born with a congenital heart abnormality.To better help the parents understand the impact of this disorder, the nurse begins by describing the unusual flow of blood through the heart which takes what course?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse teaches the patient receiving propranolol (Inderal) at home for management of ventricular arrhythmias to monitor what parameter?

Correct Answer is C

Explanation

The nurse is teaching a group of parents about the use of syrup of ipecac.Which instruction will the nurse provide?

Correct Answer is B

Explanation

Always draw up the regular insulin into the syringe first.

The nurse is conducting an admission assessment on a patient.When collecting data relating to the medications, the nurse asks “What medications are you taking?” After collecting that information, what other queries should the nurse ask? Select all that apply.

A nurse is instructing a pregnant patient concerning the potential risk to her fetus from a pregnancy category B drug.What would the nurse inform the patient?

The nurse is caring for a patient receiving warfarin and notes bruising and petechiae on the patient's extremities.The nurse will request an order for which?

The nurse is performing an assessment on a patient who will begin taking propranolol (Inderol) to treat hypertension.The nurse learns that the patients have a history of asthma and diabetes.The nurse will take which action.

The nurse is caring for a patient who is receiving a high dose of intravenous azithromycin to treat an infection.The patient is also taking acetaminophen for pain.The nurse should expect to review which lab value when monitoring for this drug side effect?

A 6-year-old was complaining of elbow pain.The nurse will advise the patient to give which pain medication?

The nurse is preparing to care for a patient who has myasthenia gravis.The nurse will be alert to symptoms affecting which body system in the patient?

A nurse is caring for a neonate born with a congenital heart abnormality.
To better help the parents understand the impact of this disorder, the nurse begins by describing the unusual flow of blood through the heart which takes what course?