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Author Archives: Anonymous

The nurse is educating the foster parents of an infant born…

The nurse is educating the foster parents of an infant born to an HIV+ mother.  The nurse should include which of the following in the education to the foster parents?

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A nurse is caring for an 11-month-old infant admitted for wa…

A nurse is caring for an 11-month-old infant admitted for watery, green diarrhea; vomiting; and fever. He is diagnosed with gastroenteritis with no known source at this time. Which nursing diagnosis should be the highest priority?      

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The nurse is caring for a patient who is being treated for a…

The nurse is caring for a patient who is being treated for acute renal failure. Which of the following findings would require immediate action?

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A nurse is caring for a baby born with a large Atrial Septal…

A nurse is caring for a baby born with a large Atrial Septal Defect (ASD). The nurse knows that an ASD increases pulmonary blood flow. Which of the following  can the nurse expect to find when assessing this baby?

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A child with a history of seizures arrives in the emergency…

A child with a history of seizures arrives in the emergency department in  status epilepticus. Which is the priority nursing action?

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Which assessment finding would indicate early hypovolemic sh…

Which assessment finding would indicate early hypovolemic shock?

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The nurse is explaining the diagnosis of osteomyelitis after…

The nurse is explaining the diagnosis of osteomyelitis after a right leg injury two months ago to the parents of an 11-year-old who is being admitted. The nurse should explain which of the following?

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The nurse knows that low cardiac output is responsible for d…

The nurse knows that low cardiac output is responsible for diminished pulses, poor color, delayed capillary refill time and decreased urine output. Which of the following congenital heart defects manifests these signs of obstructed systemic blood flow?

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An 8- month old  is brought into the Emergency Room.  He has…

An 8- month old  is brought into the Emergency Room.  He has been crying with his legs drawn up.  The parents report that it happened quickly and he has been vomiting a green bile-like substance. The ER doctor’s diagnosis is volvulus.  Knowing the risks, the nurse expects:

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The nurse is caring for a 6-year-old child who is in the ton…

The nurse is caring for a 6-year-old child who is in the tonic phase of a generalized tonic-clonic seizure. Which of the following is the most appropriate nursing action?

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