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A mother brings her 8 mo. old baby boy to clinic because he has been
vomiting and had diarrhea for last 3
days. Which assessment is most important for nurse to make?
A.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
C. Measure the infant's pulse
d. Evaluate the infant's cry - ✔✔C. Measure the infant's pulse
While obtaining the vital signs of a 10-year-old who had a tonsillectomy this
morning, the nurse observes
the child swallowing every 2-3 minutes. Which assessment should the
nurse implement? - ✔✔Inspect the posterior oropharynx
parents of a 3-year old boy who has Duchenne muscular dystrophy ask,
"How can our son have this
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,disease? We are wondering if we should have any more children." What
information should the nurse
provide to parents? - ✔✔This is an inherited X-linked recessive disorder,
which primarily affects male children in the
family
2-weck-old female infant is hospitalized for the surgical repair of an
umbilical hernia. After retuming to the postoperative neonatal unit, her R
and HR have increased during the last hour. Which intervention should the
nurse implement? - ✔✔Administer a PRN analgesic prescription
2-year-old girl is brought to the clinic by her 17-year-old mother. When the
nurse observes that the child
is drinking sweetened soda from her bottle, what information should the
nurse discuss with this mother? - ✔✔-Dental caries is associated with
drinking soda
-Toddlers should be drinking from a cup by age 2
mother brings her 3-month-old infant to the clinic because the baby does
not sleep through the night.
Which finding is most significant in planning care for this family?
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, a.The mother is a single parent and lives with her parents
b.The mother states the baby is irritable during feedings
C the infant's formula has been changed twice
D.The diaper area shows severe skin breakdown - ✔✔D.The diaper area
shows severe skin breakdown
The nurse determines that an infant admitted for surgical repair of an
inguinal hernia voids a urinary stream from the ventral surface of the penis.
What action should the nurse take? - ✔✔Document the finding
16-year-old with acute myelocytic leukemia is receiving chemotherapy (CT)
via an implanted
medication port at the out-patient oncology clinic. What action should the
nurse implement when the
infusion is complete? - ✔✔Flush mediport w/ saline and heparin solution
mother brings her 3-week old infant to the clinic because the baby vomits
after eating and always seems
hungry. Further assessment indicates that the infant's vomiting is projectile,
and the child seems listless.
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