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Questions 149

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Question 1 of 5

Which of the following findings would be expected in the infant with biliary atresia?

Correct Answer: C

Rationale: Biliary atresia causes abdominal distention due to bile accumulation and poor weight gain due to malabsorption.

Question 2 of 5

A client with a severe corneal ulcer has an order for Gentamycin gtt. q 4 hours and Neomycin 1 gtt q 4 hours. Which of the following schedules should be used when administering the drops?

Correct Answer: A

Rationale: Administering eye drops 5 minutes apart prevents dilution and ensures each medication's efficacy.

Question 3 of 5

The 6-month-old client with a ventral septal defect is receiving Digitalis for regulation of his heart rate. Which finding should be reported to the doctor?

Correct Answer: C

Rationale: A heart rate of 60 bpm in a 6-month-old is too low (normal is 80-160 bpm), indicating possible digitalis toxicity, which should be reported.

Question 4 of 5

The nurse expects a child with a deficiency in factor VIII to be diagnosed with

Correct Answer: A

Rationale: Factor VIII deficiency causes hemophilia A, a bleeding disorder due to impaired clotting.

Question 5 of 5

The nurse assesses the development of a three-month-old boy in the well-baby clinic. Which of the following behaviors, if observed by the nurse, would be UNEXPECTED?

Correct Answer: B

Rationale: unexpected until 6 months of age

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