For the child with transposition of the great vessels, which drug may be given to allow the Patent Ductus Arteriosus (PDA) to remain open until surgery?
Digoxin
Ibuprofen (Motrin)
Prostaglandin E
Indomethacin (Indocin)
The Correct Answer is C
A. Digoxin is used to strengthen cardiac contractions and treat heart failure, but it does not maintain ductal patency.
B. Ibuprofen is a prostaglandin inhibitor, and would actually cause closure of the PDA, which is contraindicated in transposition of the great vessels.
C. Prostaglandin E (such as alprostadil) is administered to keep the ductus arteriosus open, allowing mixing of oxygenated and deoxygenated blood to improve oxygenation until surgical correction is performed.
D. Indomethacin is also a prostaglandin inhibitor used to close a PDA, not keep it open.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Budesonide is an inhaled corticosteroid used for long-term control of asthma. It is not effective in acute situations where rapid bronchodilation is needed.
B. Montelukast is a leukotriene receptor antagonist used for daily maintenance therapy and prevention of asthma symptoms, not for acute attacks.
C. Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation. It is the first-line medication during an acute asthma attack to relieve bronchospasm quickly.
D. Fluticasone is also an inhaled corticosteroid, used for long-term asthma control, and is not appropriate as the first-line treatment in an emergency asthma situation.
Correct Answer is D
Explanation
A. This response may come across as judgmental or confrontational, and it doesn’t validate the parent's concern or offer reassurance.
B. This response minimizes the parent's feelings and does not offer helpful or informative support.
C. While empathetic, this response shifts the focus to the nurse rather than addressing the parent's concern with a professional explanation.
D. Hospitalization can cause regression in young children due to stress, illness, or unfamiliar environments. This response offers reassurance, normalizes the behavior, and provides an educational explanation to ease the parent's embarrassment and concern.
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