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6-month-old client who is constipated, cannot hold the head up, and has a weak cry after eating honey
B:4-year-old client who has elbow pain, swelling, and deformity after falling from a playground swing
C:6-year-old client who has fever and reports right-sided abdominal pain and difficulty tolerating food
D:9-year-old client who is lethargic and reports having painful urination and back pain
signs are temperature of 99.6 F (37.5 C), blood pressure (BP) of 200/110 mm Hg, heart rate of
110/min, and respirations of 20/min. The client is sweating profusely and reports a severe
headache. Which prescription should the nurse implement first?
选项: A:Draw labs to assess
electrolyte panel
B:Give acetaminophen 650 mg
by mouth as needed for
headache
C:Place a fan in the client's
room
D:Start nitroprusside infusion
at 0.5 mcg/kg/min