The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Upon auscultation, clear bilateral breath sounds.

Dyspnea.

Upon auscultation a machine-like murmur in the right upper sternal border.

Cyanosis.

Difficulty feeding

Answer and Explanation

Correct Answer : B,C,E

A.   Clear bilateral breath sounds are not typical in PDA; instead, crackles or signs of respiratory distress may be present.
B.   Dyspnea (difficulty breathing) is common due to the increased pulmonary blood flow from the PDA.
C.   A machine-like murmur heard at the right upper sternal border is characteristic of PDA.
D.   Cyanosis is typically not present in isolated PDA unless the PDA is large and leads to right-to-left shunting.
E.   Difficulty feeding is a common symptom because the newborn may tire easily due to inefficient circulation and increased work of breathing.

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Correct Answer is ["B","D","E"]

Explanation

A. Swelling in all extremities is not typically a symptom of VSD; it may indicate a different cardiac or renal issue.
B. Frequent lung infections are common in children with VSD due to pulmonary congestion.
C. Standard weight and growth percentile is not typical for VSD, as the child may experience failure to thrive.
D. Dyspnea occurs due to increased blood flow to the lungs and pulmonary congestion.
E. A heart murmur is a hallmark of VSD, heard due to the abnormal flow of blood through the septal defect.

A. Administering pain medication as needed B. Providing a low-sodium diet to prevent fluid overload C. Encouraging the child to ambulate as soon as possible D. Assessing vital signs every 4 hours

Correct Answer is D

Explanation

A. While pain management is important, the priority is assessing for complications that could arise after the procedure.
B. Discharge teaching is important, but the priority immediately after the procedure is monitoring for complications.
C. While hydration is important, it is not the immediate priority following VP shunt placement, where the focus should be on assessing for signs of complications.
D. Regular monitoring of vital signs is crucial to detect complications such as shunt malfunction, infection, or increased intracranial pressure.

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The nurse is caring for a newborn with suspected Patent Ductus Arteriosus (PDA). What signs and symptoms should the nurse expect to find when assessing the newborn? (Select All That Apply).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a newborn with a Ventricular-Septal Defect (VSD). The nurse should recognize that the signs and symptoms of this defect are? (Select All That Apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is caring for a child who has undergone a Ventriculoperitoneal (VP) shunt placement procedure. The nurse is aware of the need for careful prioritization of care. Which of the following actions should the nurse prioritize for this child?

Correct Answer is D

Explanation

A nurse is assessing a 3-year-old client who has been diagnosed with an Atrial Septal Defect (ASD). Which of the following findings should the nurse expect? (Select All That Apply)

A nurse is caring for a child with a diagnosis of Duchenne's muscular dystrophy (DMD). The nurse should recognize that which of the following accurately describes Duchenne muscular dystrophy (DMD)? (Select All that Apply.)

A nurse is caring for a 2-month-old infant with epispadias post-op surgical revision with a stent placement. What interventions should the nurse expect during post op care?

A nurse is assessing a five-month-old Infant. The nurse should recognize that which of the following manifestations is associated with a central nervous system (CNS) Infection?

A nurse is caring for an infant post operative closure of a myelomeningocele. Which intervention is essential for providing basic care and comfort following myelomeningocele sac closure?

A nurse is caring for an adolescent client who has tinea pedis. The parents ask the nurse, "What is the common name of this infection?" The nurse should respond with which of the following common names?

The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to Implement?

A nurse is admitting a child diagnosed with leukemia and is scheduled to receive chemotherapy for the Intensification stage of treatment. Which of the following clients should the nurse place in the same room with this child?