1) A nurse is caring for a school-age child who has peripheral edema. The nurse should

identify that which of the following assessments should be performed to confirm

peripheral edema?

a) Palpate the dorsum of the child's feet.

b) Weigh the child daily using the same scale.

c) Assess the child's skin turgor.

d) Observe the child for periorbital swelling.

2) A nurse is caring for an infant who is receiving IV fluids for the treatment of Tetralogy of

Fallot and begins to have hypercryanotic spell. Which of the following actions should

the nurse take?

a) Place the infant in a knee-chest position.

b) Administer a dose of meperidine IV.

c) Discontinue administration of IV fluids.

d) Apply oxygen at 2 L/min via nasal cannula.

3) A nurse is reviewing the dietary choices of an adolescent who has iron deficiency

anemia. The nurse should identify that which of the following menu items has the

highest amount of nonheme iron?

a) ½ cup whole milk

b) 1 cup orange juice

c) ½ cup raisins

d) 1 cup raw carrots

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