Author Question: A student nurse asks the faculty why a child with patent ductus arteriosus (PDA) is taking a ... (Read 34 times)

laurencescou · **on:** Jun 28, 2018

A student nurse asks the faculty why a child with patent ductus arteriosus (PDA) is taking a nonsteroidal anti-inflammatory drug (NSAID). Which response by the faculty is the most appropriate?

A.
Decreases venous stasis, lowering risks of clotting
B.
Inhibits prostaglandin, which helps close the PDA
C.
Provides long-lasting pain and inflammation control
D.
Reduces swelling around the PDA, making surgery easier

Question 2

A child is in the pediatric intensive care unit 2 hours after a surgical repair of an atrial septal defect (ASD). Postoperative nursing actions include which of the following?

A.
Administer pain medication.
B.
Maintain venous access.
C.
Monitor chest tube drainage.
D.
The nurse will take all of these actions.

pallen55 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: B
Prostaglandin helps keep the PDA open, so an NSAID that inhibits prostaglandin synthesis will help close the opening. This is especially beneficial for premature infants. It is not used for venous stasis, pain relief, or swelling.

Answer to Question 2

ANS: D
All actions are important for the child postoperatively following an ASD repair. This child will be on a mechanical ventilator, so airway is the priority. The nurse will suction secretions as needed to maintain a patent airway.