1.A mother brings her 8 mo. old baby boy to clinic bc he has been vomitting and had diarrhea for last 3 days. Which assessment is most important for nurse to make? **SEE SCREEN SHOT FOR RATIONALE**
a.Assess infant abdomen for tenderness
b.Determine if the infant was exposed to a virus
c.Measure the infant’s pulse
d.Evaluate the infant’s cry
2.While obtaining the vital signs of a 10 year old who had a tonsillectomy this morning, the nurse observes the child swallowing every 2-3 minutes. Which assessment should the nurse implement?
a.Inspect the posterior oropharynx
b.Assess for teeth clenching or grinding
c.Touch the tonsillar pillars to stimulate the gag reflex
d.Ask the child to speak to evaluate change in voice tone
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