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CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A three-month-old infant was admitted to the pediatric unit for confirmation of the diagnosis of ventricular septal defect. During the initial assessment, the nurse would expect to find:

A murmur at the left sternal border
Bounding peripheral pulse
Bradycardia at rest
An activity related to cyanosis

Explanation

Answer - A - During the initial assessment, the nurse would expect to find a murmur at the left sterna border. Murmur at the left sterna border is the most characteristic finding in children with a ventricular septal defect.

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CCNS Certified Clinical Nurse Specialist

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CCNS Certified Clinical Nurse Specialist

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