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58. The nurse is monitoring an infant with congenital heart disease closely for signs of heart failure (HF). The nurse should assess the infant for which EARLY sign of HF? a. Pallor b. Cough ... c. Tachycardia d. Slow and shallow breathing 59. On assessment of a child admitted with a diagnosis of acute-stage Kawasaki disease, the nurse expects to note which clinical manifestation of the acute stage of the disease? a. Cracked lips b. Normal appearance c. Conjunctival hyperemia d. Desquamation of the skin (aka mucocutaneous lymph node syndrome, is an acute systemic inflammatory illness. In the acute stage, the child has a fever, conjunctival hyperemia, red throat, swollen hands, rash, and enlargement of the cervical lymph nodes. In the subacute stage, cracking lips and fissures, desquamation of the skin on the tips of the fingers and toes, joint pain, cardiac manifestations, and thrombocytosis occur. In the convalescent stage, the child appears normal, but signs of inflammation may be present.) 60. The nurse provides home care instructions to the parents of a child with heart failure regarding the procedure for administration of digoxin. Which statement made by the parent indicates the need for further instruction? a. "I will not mix the medication with food." b. "I will take my child's pulse before administering the medication." c. "If more than 1 dose is missed, I will call the health care provider." d. "If my child vomits after medication administration, I will repeat the dose." (toxicity) ___________ is a medication commonly given with ECT to dry out the pt Glycopyrulate 61. The nurse is closely monitoring the intake and output of an infant with heart failure who is receiving diuretic therapy. The nurse should use which most appropriate method to assess the urine output? a. Weighing the diapers b. Inserting a urinary catheter c. Comparing intake with output d. Measuring the amount of water added to formula 62. The clinic nurse reviews the record of a child just seen by a health care provider and diagnosed with suspected aortic stenosis. The nurse expects to note documentation of which clinical manifestation specifically found in this disorder? a. Pallor b. Hyperactivity c. Exercise intolerance d. Gastrointestinal disturbances 63. A health care provider has prescribed oxygen as needed for an infant with heart failure. In which situation should the nurse administer the oxygen to the infant? a. During sleep b. When changing the infant's diapers c. When the mother is holding the infant d. When drawing blood for electrolyte level testing [Show More]

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