A pediatric nurse is assessing a newborn diagnosed with persistent patency of the ductus arteriosus. Which of the following findings are associated with this heart defect? Select all that apply
A)
Murmur heard at the second intercostal space, during both systole and diastole
B)
BP 84/30 classified as a wide pulse pressure
C)
Shortness of breath with activity such as kicking
D)
Stridor with inspiratory wheezes
E)
Bulging jugular neck veins
Ans:
A, B
Feedback:
Persistent patency of the ductus arteriosus is defined as a duct that remains open for greater than 3 months. A murmur is detected within days of birth. It is loudest at the second left intercostal space and is continuous through systole and diastole. A wide pulse pressure is common (BP 84/30). Most newborns have an elevated respiratory rate with exertional activity. Stridor is usually associated with bronchial infections or narrowing of the airways. Bulging jugular neck veins are associated with right-sided heart failure.
You might also like to view...
The nurse is assessing a patient's stool and notes that the color is red. While the red color does not appear to be blood, the nurse performs a hemoccult test on the stool that is found to be negative
The nurse asks the patient if he has recently consumed which of the following foods that may turn the stool red? A) Beef B) Carrots C) Spinach D) Catsup
A subjective response that occurs when a person experiences a threat to well-being is called
a. a stressor c. anxiety b. stress d. adaptation
A 34-year-old woman who is discussing contraceptive options with the nurse says, "I want to have children, but not for a few years." Which response by the nurse is appropriate?
a. "If you do not become pregnant within the next few years, you never will." b. "You may have more difficulty becoming pregnant after about age 35." c. "You have many years of fertility left, so there is no rush to have children." d. "You should plan to stop taking oral contraceptives several years before you want to become pregnant."
The nurse is caring for a pregnant woman who has developed high blood pressure in her first trimester. What drug should the nurse prepare for immediate administration?
a. Sodium nitroprusside b. Magnesium sulfate c. Angiotensin-converting enzyme (ACE) inhibitor d. Hydralazine (Apresoline)