The pediatric nurse is examining a patient admitted to the pediatric intensive care unit who is experiencing symptoms of heart failure. The nurse detects a "machine-like" murmur located under the left clavicle
The nurse suspects the patient has:
A) pulmonic valve stenosis.
B) patent ductus arteriosus.
C) ventricular septal defect.
D) atrivoventricular canal defect.
B
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A nurse cares for a client who has a chest tube. When would this client be at highest risk for developing a pneumothorax?
a. When the insertion site becomes red and warm to the touch b. When the tube drainage decreases and becomes sanguineous c. When the client experiences pain at the insertion site d. When the tube becomes disconnected from the drainage system
The patient is a 48-year-old man with acute renal failure. Which of the following is the most common clinical manifestation of acute renal failure?
A) Decrease in BUN B) Anuria C) Oliguria D) Decrease in serum creatinine
The nurse auscultates crackles at the bases of the lungs of a client with adult respiratory distress syndrome (ARDS). The nurse knows that these adventitious lung sounds are due to:
1. fluid in the alveoli. 2. constriction of the airways. 3. hyperinflated alveoli. 4. mucus in the airways.
The best way for the nurse to promote and support the maternal-infant bonding process is to
a. Help the mother identify her positive feelings toward the newborn. b. Encourage the mother to provide all newborn care. c. Assist the family with rooming-in. d. Return the newborn to the nursery during sleep periods.