While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

Kawasaki disease

Tricuspid Atresia

Tetralogy of Fallot

Patent Ductus Arteriosus (PDA)

Answer and Explanation

The Correct Answer is D

A. Kawasaki disease typically presents with fever, rash, and conjunctivitis, not a machine-like murmur or the other cardiovascular findings.

B. Tricuspid Atresia involves a defect in the tricuspid valve and presents with cyanosis and poor circulation, but not a machine-like murmur.

C. Tetralogy of Fallot involves a murmur due to pulmonary stenosis and VSD but would not produce a "machine-like" murmur, which is characteristic of PDA.

D. Patent Ductus Arteriosus (PDA) results in a continuous "machine-like" murmur due to abnormal blood flow between the aorta and pulmonary artery, along with findings of pulmonary congestion and right ventricular hypertrophy.

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Correct Answer is C

Explanation

A. Transposition of The Great Arteries involves abnormal positioning of the arteries, leading to systemic and pulmonary circulations being disconnected, rather than increased pulmonary blood flow.

B. Coarctation of the Aorta is a narrowing of the aorta that can cause increased pressure in the upper extremities but does not involve increased pulmonary blood flow.

C. Patent Ductus Arteriosus (PDA) is a condition where the ductus arteriosus fails to close, causing increased blood flow to the lungs, leading to pulmonary overcirculation.

D. Tetralogy of Fallot leads to decreased pulmonary blood flow due to pulmonary stenosis and right ventricular hypertrophy.

A. Place the patch on the right eye for several hours daily B. Place the patch on the left eye for several hours daily C. Place the patch on the right eye for one hour daily D. Alternate the patch from the right to the left eye hourly

Correct Answer is B

Explanation

A. Place the patch on the right eye for several hours daily would not be effective for treating amblyopia. The goal of patching is to encourage the use of the weaker (lazy) eye, so the good eye (left) must be patched.

B. Place the patch on the left eye for several hours daily is the correct approach to treat amblyopia, as it forces the right (weaker) eye to work and improve visual acuity.

C. Place the patch on the right eye for one hour daily would not effectively treat the amblyopia in the left eye, as it focuses on the wrong eye.

D. Alternate the patch from the right to the left eye hourly is not typically done. Consistent patching of the stronger (left) eye is recommended.

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While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After teaching a class about the hemodynamic characteristics of congenital heart disease, the instructor determines that the teaching has been successful when the class identifies which defect as an example of a disorder involving increased pulmonary blood flow?

Correct Answer is C

Explanation

The primary health care provider prescribes patching for a child with amblyopia of the right eye, and the nurse instructs the parent regarding this procedure. What would the nurse include in the instructions?

Correct Answer is B

Explanation

A 4-year-old child is diagnosed with otitis media. The parent asks the nurse about the causes of this illness. Which risk factors would the nurse include in response to this parent? Select all that apply.

The nurse is reinforcing education to the parents of a toddler diagnosed with bronchiolitis. The nurse informs the parents that which of the following is the most common cause of bronchiolitis?

The nurse is providing home care instructions to the parent of a 9-year-old child diagnosed with bacterial conjunctivitis. Topical antimicrobial therapy is prescribed for the child. Which statement by the parent indicates that the teaching has been effective?

The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching? Select all that apply.

While assessing a newborn with respiratory distress, the nurse auscultates a machine-like heart murmur. Other findings are a widened pulse pressure. pulmonary congestion and right ventricular hypertrophy. The nurse suspects that the newborn has:

The nurse is caring for a child diagnosed with Kawasaki disease. Keeping the pathophysiology in mind, the nurse carefully monitors the child for which complication?

The nurse is assessing a child with epiglottitis. Which of the following would be an expected finding?

In which congenital heart defect would the nurse need to take upper and lower extremity blood pressures?