Which medication would the nurse expect the physician to order for a newborn diagnosed with patent ductus arteriosus?
A) Alprostadil
B) Heparin
C) Indomethacin
D) Spironolactone
C
Response:
Indomethacin is the drug typically ordered to close a patent ductus arteriosus. Alprostadil would be indicated to maintain the ductus arteriosus temporarily in infants with ductal-dependent congenital heart defects. Heparin would be used for prophylaxis and treatment of thromboembolic disorders, especially after surgery. Sprionolactone would be used to manage edema due to heart failure and to treat hypertension.
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A nurse is creating a care plan for a patient with acute pancreatitis. The care plan includes reduced activity. What rationale for this intervention should be cited in the care plan?
A) Bed rest reduces the patient's metabolism and reduces the risk of metabolic acidosis. B) Reduced activity protects the physical integrity of pancreatic cells. C) Bed rest lowers the metabolic rate and reduces enzyme production. D) Inactivity reduces caloric need and gastrointestinal motility.
A patient with attention deficit disorder is admitted to the hospital with type 1 diabetes. Which nursing diagnosis is commonly yet inappropriately used but should be avoided for this type of patient? Assume there are data to support all the diagnoses
1) Deficient Knowledge (disease process) 2) Impaired ability to learn related to fear and anxiety 3) Difficulty learning related to cognitive developmental level 4) Lack of motivation to learn related to feelings of powerlessness
The nurse is assessing a newborn and notes that the infant has six fingers on the left hand. The nurse would accurately document this information in which of the following ways?
1. Syndactyly 2. Polydactyly 3. Brachial plexus injury 4. Erb's palsy
A patient has just acknowledged that she is 20 weeks pregnant and confides to the nurse that she has a daily heroin habit. The nurse discusses treatment options for the patient. Which patient statement requires follow-up?
a. "My plan is to visit the outpatient clinic daily for treatment." b. "I will see my health care provider at least every 2 weeks." c. "My baby will not have to go through withdrawal when I take methadone." d. "With oral methadone, my baby and I are at decreased risk of infection."