RN HESI PAEDIATRICS Exam 2
RN HESI PAEDIATRICS Exam 2 ( 48 Questions)
To maintain patency of the ductus arteriosus, the nurse administers a prescribed dose of prostaglandin intravenously (IV) to a week-old infant diagnosed with transposition of the great vessels. Based on which finding should the nurse stop the medication administration immediately?
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Heart rate of 50 beats/minute.
Prostaglandin is often used to maintain the patency of the ductus arteriosus in certain congenital heart defects, such as transposition of the great vessels. A low heart rate (bradycardia) can be an adverse effect of prostaglandin administration. If the heart rate drops to a level as low as 50 beats/minute, it indicates a potential adverse reaction to the medication, and the nurse should stop the administration immediately and notify the healthcare provider.
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Respiratory rate of 34 breaths/minute: This respiratory rate is within the normal range for a week-old infant.
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Pulse oximeter of 95%: A pulse oximeter reading of 95% indicates acceptable oxygen saturation.
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Blood pressure of 80/50 mm Hg: This blood pressure is within an acceptable range for a week-old infant.