During an assessment of a neonate born at
33 weeks’ gestation, a nurse fi nds and reports a heart
murmur. An echocardiogram reveals patent ductus
arteriosis, for which the neonate received indomethacin.
An expected outcome after the administration
of indomethacin to a neonate with patent
ductus arteriosis is:
■ 1. Closure of a patent ductus arteriosus.
■ 2. Decreased bleeding time.
■ 3. Increased gastrointestinal function.
■ 4. Increased renal output.
5
- The indication for the use of indomethacin
is to close a patent ductus arteriosus. Adverse
effects include decreased renal blood fl ow, platelet
dysfunction with coagulation defects, decreased GI
motility, and an increase in necrotizing enterocolitis.
Thus, increased bleeding time, decreased gastrointestinal
function, and decreased renal output
would be expected outcomes after the administration
of indomethacin.