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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 B

Explanation

A. A stool fat content analysis can suggest malabsorption issues but does not specifically confirm cystic fibrosis.

B. The sweat chloride test measures the amount of chloride in the sweat, with elevated levels confirming a diagnosis of cystic fibrosis.

C. Pulmonary function tests assess lung function but are not definitive for diagnosing cystic fibrosis.

D. A sputum culture can identify respiratory infections but is not specific for cystic fibrosis diagnosis.

Correct Answer is C

Explanation

A. Monitoring lung function and oxygen saturation is important but not the primary purpose of chest physiotherapy.

B. Chest physiotherapy does not primarily focus on pain relief or reducing inflammation; instead, it targets mucus clearance.

C. Chest physiotherapy is primarily performed to enhance lung function by mobilizing and clearing thick mucus from the airways, which is critical in managing cystic fibrosis and preventing infections.

D. While medications can be administered via nebulization, chest physiotherapy itself is not used for direct medication delivery but rather for airway clearance.

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