A six-month-old infant is receiving ribavirin for the treatment of respiratory syncytial virus. Ribavirin is administered via which one of the following routes?

• A.Oral
• B.IM
• C.IV
• D.Aerosol

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A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal
checkup. She is 30 weeks' gestation. The nurse should be alert to which condition related to her age?

• A.Iron-deficiency anemia
• B.Sexually transmitted disease (STD)
• C.Intrauterine growth retardation
• D.Pregnancy-induced hypertension (PIH)

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A 6-month-old infant who was diagnosed at 4 weeks of age with a ventricular septal defect, was admitted today with a diagnosis of failure to thrive. His mother stated that he had not been eating well for the past month. A cardiac catheterization reveals congestive heart failure. All of the following nursing diagnoses are appropriate.
Which nursing diagnosis should have priority?

• A.Altered nutrition: less than body requirements related to inability to take in adequate calories
• B.Altered growth and development related to decreased intake of food
• C.Activity intolerance related to imbalance between oxygen supply and demand
• D.Decreased cardiac output related to ineffective pumping action of the heart

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A 40-year-old client has been admitted to the hospital with severe substernal chest pain radiating down his left arm. The nurse caring for the client establishes the following priority nursing diagnosis-Alteration in comfort, pain related to:

• A.Increased excretion of lactic acid due to myocardial hypoxia
• B.Increased blood flow through the coronary arteries
• C.Decreased stimulation of the sympathetic nervous system
• D.Decreased secretion of catecholamines secondary to anxiety

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Hematotympanum and otorrhea are associated with which of the following head injuries?

• A.Basilar skull fracture
• B.Subdural hematoma
• C.Epidural hematoma
• D.Frontal lobe fracture

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