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When taking a client's history, it would be important to ask the parents
about which of the following details? Select all that apply.
a. Feeding history including weight gain
b. Gestational age at birth
c. Date of the mother's last toxicology report
,d. Developmental milestone achievements
e. If the couple plans to have additional children - ANSWER ✔✔a,b,d
Which of the following indicators are possible in children with heart
disease? Select all that apply.
a. Large for gestational age
b. Failure to thrive
c. Early developmental milestone achievement
d. Scoliosis
e. Clubbing of fingers and toes - ANSWER ✔✔b,d,e
When caring for a child undergoing a cardiac catheterization, the nurse
would promote safe and effective care by including which of the following
measures?
,a. Keeping the patient NPO for 24 hours then gradually returning to
normal diet
b. Instructing caregivers that return to school should be after 2 weeks
c. Keeping extremities straight for 4 to 6 hours with no movement
d. Permitting the child to bathe or shower following the procedure -
ANSWER ✔✔c. Keeping extremities straight for 4 to 6 hours with no
movement
Which of the following is an important safety measure for the nurse to
maintain when administering digoxin (Lanoxin)? Select all that apply.
a. Administer 2 hours before meals and 1 hour after meals
b. Repeat the dose if the child vomits
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, c. Monitor intake and output in children with renal disorders
d. Obtain periodic potassium, magnesium, and calcium levels
e. Verify the dosage and any calculations with a second nurse -
ANSWER ✔✔c,d,e
a should be opposite
Which of the following assessment findings is expected in shock? Select
all that apply.
a. Loss of consciousness
b. Dry skin
c. Sudden, rapid heartbeat
d. Weak pulse