The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse expect?

A) Thrill at the base of the heart
B) Harsh, continuous, machine-like murmur
C) Faint pulses
D) Systolic murmur along the left sternal border


B
Response:
With patent ductus arteriosus, a harsh, continuous, machine-like murmur (usually loudest under the left clavicle) is heard at the first and second intercostal spaces. Thrill at the base, faint pulses, and systolic murmur along the left sternal border point to aortic stenosis.

Nursing

You might also like to view...

A 62-year-old male patient has had chronic obstructive pulmonary disease (COPD) for many years but has been unable to quit smoking. When approached by the nurse, he states that he would be "better off dead."

He states that he has always supported his family, and now the doctor says he can no longer work because of his condition and oxygen dependency. His wife will now have to go to work, and he is sure that she will not make enough money to pay the bills. In preparing the patient for discharge, the nurse should a. Develop a plan of care for the family. b. Contact psychiatric services. c. Assure the patient that things will work out. d. Focus the plan of care on maximizing patient function.

Nursing

You are performing a young woman's first pelvic examination. You make sure to tell her verbally what is coming next and what to expect. Then you carry out each maneuver of the examination. You let her know at the outset that if she needs a break or wants to stop, this is possible. You ask several times during the examination, “How are you doing, Brittney?” What are you accomplishing

with these techniques? A) Increasing the patient's sense of control B) Increasing the patient's trust in you as a caregiver C) Decreasing her sense of vulnerability D) All of the above

Nursing

In middle-aged men, erectile dysfunction is often the result of ________ such as bypass surgery, chemotherapy, and organ transplants.

Fill in the blank(s) with the appropriate word(s).

Nursing

The margin of safety is a way of comparing

A. the LD50 against the LD1 B. the LD1 against the ED99 C. the ED99 against the ED50 D. the LD50 against the ED50

Nursing