Diagnostic assessment findings for an infant with possible coarctation of the aorta would include:

• A.A third heart sound
• B.A diastolic murmur
• C.Pulse pressure difference between the upper extremities
• D.Diminished or absent femoral pulses

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A 15-year-old client was diagnosed as having cystic fibrosis at 8 months of age. He is in the hospital for a course of IV antibiotic therapy and vigorous chest physiotherapy. He has a poor appetite. The nurse can best help him to meet the desired outcome of consuming a prescribed number of calories by:

• A.Including the client in planning sessions to select the type of meal plan and foods for his diet
• B.Working with the nutritionist to devise a diet with significantly increased calories
• C.Selecting foods for the client's diet that are high in calories and instituting a strict calorie count
• D.Constantly providing him with chips, dips, and candies, because the number of calories consumed is more important than the quality of foods

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A female client is started on warfarin (Coumadin) 5 mg po bid. To adequately evaluate the effectiveness of the warfarin therapy, the nurse must know that this medication:

• A.Dissolves any clots already formed in the arteries
• B.Prevents the conversion of prothrombin to thrombin
• C.Interferes with the synthesis of vitamin K-dependent clotting factors
• D.Stimulates the manufacturing of platelets

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A nurse should carefully monitor a client for the following side effect of MgSO4:

• A.Visual blurring
• B.Tachypnea
• C.Epigastric pain
• D.Respiratory depression

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In working with a manipulative client, which of the following nursing interventions would be most appropriate?

• A.Bargaining with the client as a strategy to control the behavior
• B.Redirecting the client
• C.Providing a consistent set of guidelines and rules
• D.Assigning the client to different staff persons each day

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