Which action should the nurse include in the plan of care

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Reference no: EM132889924

Problem 1: A nurse is caring for a 2-month-old infant who has heart failure and is receiving furosemide. Which of the following finding is the nurse's priority?

a. heart rate 162/min
b. negative doll's eye reflex.
c. Sunken anterior fontanel
d. potassium 5.1MEq/L

Problem 2: A nurse in an emergency department is caring for a child who experienced submersion injury. Which of the following is the priority action for the nurse to take?

a. obtain an ABG sample.
b. Apply warming blankets.
c. Assist with intubation.
d. Administer an IV bolus.

Problem 3: A nurse is caring for a school- age child who is experiencing a sickle cell crisis. Which of the following action s should the nurse take?

a. initiate contact precaution
b. Apply warm compresses to the affected area.
c. Decrease the child's fluid intake.
d. administer furosemide IV twice per day.

Problem 4: A nurse is planning care for an adolescent following repair of Meckel diverticulum. Which of the following action should the nurse include in the plan of care?

a. Teach the client about ostomy care.
b. Maintain an NG tube for decompression.
c. initiate long- term antibiotic therapy.
d. Administer total parenteral nutrition.

Reference no: EM132889924

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