Author Question: The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following ... (Read 49 times)

Starlight · **on:** Jun 27, 2018

The nurse is caring for an infant with suspected patent ductus arteriosus. Which of the following assessment findings would the nurse identify as helping to confirm this suspicion?

A) Thrill at the base of the heart
B) Harsh, continuous, machine-like murmur under the left clavicle
C) Faint pulses
D) Systolic murmur best heard along the left sternal border

Question 2

A nurse is preparing a class for a group of young adult women about emergency contraceptives (ECs). Which of the following would the nurse need to stress to the group. Select all that apply.

A) ECs induce an abortion like reaction.
B) ECs provide some protection against STIs
C) ECs are birth control pills in higher, more frequent doses
D) ECs are not to be used in place of regular birth control
E) ECs provide little protection for future pregnancies.

morrie123456 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
With patent ductus arteriosus, a harsh, continuous, machine-like murmur (usually loudest under the left clavicle) is heard at the first and second intercostal spaces. A thrill at the base, faint pulses, and systolic murmur heard best along the left sternal border point to aortic stenosis.

Answer to Question 2

C, D, E
Feedback:
Important points to stress concerning ECs are that ECs do not offer any protection against STIs or future pregnancies; should not be used in place of regular birth control, as they are less effective; are regular birth control pills given at higher doses and more frequently; and are contraindicated during pregnancy (Miller, 2011). Contrary to popular belief, ECs do not induce abortion and are not related to mifepristone or RU-486, the so-called abortion pill approved by the FDA in 2000.