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A nurse is assessing a newborn for manifestations of a large patent ductus arteriosus. Which of the following findings should the nurse expect?

A.

Weak pulses

B.

Cyanosis with crying

C.

Chronic hypoxemia

D.

Systolic murmur

Answer and Explanation

The Correct Answer is D

A. Weak pulses are more indicative of reduced cardiac output or other cardiac issues, rather than specifically a large patent ductus arteriosus (PDA).  

 

B. Cyanosis with crying can occur in various conditions, but it is not a hallmark of a large PDA; it typically presents with other symptoms.  

 

C. Chronic hypoxemia is more associated with severe heart defects or lung conditions, whereas a large PDA may present with other signs first.  

 

D. A systolic murmur is a classic finding in large PDAs due to the left-to-right shunting of blood, making it the most expected manifestation in this scenario.  


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View Related questions

Correct Answer is A

Explanation

A. A child whose parents consistently answer questions on their behalf may indicate a lack of autonomy and could be a sign of potential abuse or neglect, as it may suggest the parents are controlling or overly involved.

B. A child who has frequent visitors does not inherently suggest abuse; in fact, it could indicate support and care from family or friends.

C. Frequent use of the call light could indicate a child's need for assistance or comfort but does not directly correlate with abuse.

D. A child with a BMI indicating obesity is not a definitive indicator of abuse; it may relate to dietary habits or lifestyle factors rather than abuse.

Correct Answer is B

Explanation

A. Supraventricular tachycardia (SVT) typically has identifiable P waves; the absence of P waves suggests a different condition.

B. Atrial fibrillation is characterized by an irregular rhythm, inability to identify P waves, and varying intervals. This interpretation aligns with the client's ECG findings.

C. Sinus bradycardia would show identifiable P waves and a regular rhythm with a heart rate less than 60 bpm, which does not match the provided information.

D. First-degree heart block would also show identifiable P waves and regularity in the rhythm with a prolonged PR interval, which is not indicated here.

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