A 6 month old has a known diagnosis of an Atrial Septal Defect (ASD). The nurse would anticipate all except which of the following during an assessment?
1. Shortness of breath
2. Enlarged liver
3. Poor feeding
4. A diastolic murmur
4
Feedback
1. Shortness of breath is expected since more blood flows to the pulmonary area because of the hole.
2. The liver enlarges because of the increase in blood flow.
3. Poor feedings are expected as a result of shortness of breath because of the pulmonary hypertension issues.
4. A systolic murmur is expected due to the blood being forced through the pulmonary valve.
You might also like to view...
An 18-year-old female patient presents with repeated urinary tract infections. She has no risk factors in her history, and her physical examination is unremarkable. She also has a normal pelvic exam
Which of the following should be obtained if anatomic abnormalities are suspected? A. Intravenous pyelogram B. Ultrasound of the kidneys C. Cystoscopy D. Transvaginal ultrasound of the bladder
A nurse working in a pediatrician's office is preparing to do a throat culture for a 5-year-old. The child's parent asks, "Why do we have to do this?" The best statement the nurse could make to the child's parent is:
1. "It is important to identify and treat a Streptococcus infection quickly to prevent major illness." 2. "We need to test every sick child for whooping cough." 3. "Doctors have really cut down on how many antibiotics are given because the insurance companies won't pay for them." 4. "Throat cultures are primarily used to test children for the mumps."
What would cause a nurse to suspect that an infection has developed under a cast?
a. Complaint of paresthesia c. Increased respirations b. Cold toes d. "Hot spots" felt on cast surface
The nurse making an admission assessment notes the client is profoundly depressed to the point of
being mute and motionless. The client has refused to bathe and eat for a week, according to her parents. The nurse should code the client's global assessment of functioning as a. 100. b. 50. c. 25. d. 10.