The nurse is caring for a 4 year-old who will have surgery for tetralogy of Fallot tomorrow. Which laboratory report must receive priority attention by the nurse?
White blood cell count
Erythrocyte sedimentation rate
Hemoglobin and hematocrit
Arterial blood gases

Based on the symptoms presented, the most likely diagnosis for the 68-year-old male is a transient ischemic attack (TIA), also known as a "mini-stroke." The slurred speech, right facial drooping and numbness, and right hand weakness are common symptoms of a TIA.

The fact that the symptoms resolved by the time he got to the ER is also a common characteristic of a TIA. The patient's history of hypertension, diabetes mellitus, and heavy smoking puts him at an increased risk for a TIA. It is important that the patient undergoes further evaluation and testing to confirm the diagnosis and to prevent a potential stroke in the future. Treatment for a TIA may include lifestyle modifications, medications to manage underlying conditions, and possibly surgery to address any blockages in the blood vessels.

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The most likely diagnosis for the 55-year-old male with sudden onset of severe chest pain that radiated to the back and a history of uncontrolled hypertension is an aortic dissection.

Aortic dissection occurs when there is a tear in the inner lining of the aorta, the main artery that carries blood from the heart to the rest of the body. Hypertension can cause the walls of the aorta to weaken and increase the risk of a dissection.

                                      The symptoms of an aortic dissection can mimic those of a heart attack, and it is a life-threatening emergency that requires immediate medical attention.
                                       An aortic dissection occurs when the inner layer of the aorta tears, causing blood to flow between the layers of the aortic wall, forcing the layers apart. Uncontrolled hypertension is a significant risk factor for this condition.

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Based on the symptoms described, it is possible that the 33-year-old female may be experiencing depression.

Fatigue, trouble sleeping, and loss of enjoyment in previously pleasurable activities are common symptoms of depression. Unintentional weight loss may also be a sign of depression, as it can affect appetite and energy levels. It is recommended that she speak with a healthcare provider for a proper diagnosis and treatment plan and it is essential for the individual to consult with a healthcare professional for a thorough assessment and proper diagnosis. A healthcare provider will consider other possible causes and discuss appropriate treatment options for the individual's specific situation.

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Based on the symptoms described, it is possible that the 65-year-old female may have sustained a fracture in the left hip region. This is particularly concerning given the tenderness in her left groin and the fact that she is unable to bear weight on her left leg.

It is also important to note that the onset of menopause was 20 years ago and the patient did not receive any hormone replacement therapy (HRT) or calcium supplements. Menopause can lead to a decline in bone density, which may increase the risk of fractures. It is therefore crucial to ensure adequate calcium intake through diet or supplements, as well as regular weight-bearing exercises to maintain bone health during and after menopause.

In addition to medical treatment for the hip fracture, the patient may also benefit from supplements such as calcium and vitamin D to support bone health. Pain relief and physical therapy may also be necessary to promote healing and regain mobility in the affected leg. It is important for the patient to receive prompt and appropriate medical care to address her symptoms and prevent any further complications.

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Out of the given options, Relafen is classified as an NSAID. NSAIDs or Non-Steroidal Anti-Inflammatory Drugs are a class of drugs that are commonly used to relieve pain, inflammation, and fever.

They work by blocking the production of prostaglandins, which are chemicals in the body that cause inflammation, pain, and fever. Relafen or Nabumetone is an NSAID that is used to treat pain and inflammation caused by conditions such as arthritis, osteoarthritis, and rheumatoid arthritis. It is also used to reduce fever.

It is important to note that NSAIDs can have side effects such as stomach pain, nausea, and bleeding, especially if taken for a long period of time or in high doses. Therefore, it is important to follow the prescribed dosage and consult a doctor if you experience any side effects. Additionally, some people may be allergic to NSAIDs, so it is important to inform your doctor if you have any allergies or medical conditions before taking any medication.

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Paradoxical chest wall movement is a key assessment finding in a client with a flail chest. It occurs when a segment of the rib cage becomes detached from the rest of the chest wall, causing it to move in the opposite direction during breathing. This can lead to difficulty in breathing and potential complications.

A flail chest is a serious condition that occurs when a segment of the chest wall is detached from the rest of the chest wall, usually as a result of multiple rib fractures. The detached segment moves paradoxically, meaning that it moves in the opposite direction to the rest of the chest wall during inspiration and expiration.

This is because the detached segment is no longer able to move in concert with the rest of the chest wall due to the fractures. Paradoxical chest wall movement is therefore a key assessment finding in the client with a flail chest, and is often accompanied by severe pain, shortness of breath, and hypoxemia. Treatment of a flail chest usually involves mechanical ventilation and pain management, and in some cases surgery may be required to stabilize the chest wall.

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Hippocrates believed there were four important bodily fluids that influenced physical and mental health.

The four bodily fluids or humors according to Hippocrates were blood, phlegm, yellow bile, and black bile. It was believed that an imbalance in any of these fluids could cause illness and affect a person's temperament. This theory was known as humorism and was widely accepted in Western medicine until the 19th century. Today, humorism is considered a pseudoscience and has been largely discredited, as medical knowledge and understanding of the human body have advanced significantly.

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Based on the given symptoms and history, the most likely diagnosis for the 55-year-old female is acute labyrinthitis. Labyrinthitis is an inflammation of the inner ear that can cause dizziness, hearing loss, and nausea.

It commonly occurs after a viral upper respiratory infection, which fits with the patient's recent URI. The inflammation of the inner ear can disrupt the balance system, leading to vertigo and dizziness. The patient's complaint of hearing loss is also consistent with this diagnosis.

Other potential causes of dizziness and hearing loss include Meniere's disease, acoustic neuroma, and stroke. However, given the recent URI and acute onset of symptoms, labyrinthitis is the most likely diagnosis. Treatment for labyrinthitis includes medications to manage nausea and dizziness, as well as steroids to reduce inflammation. If symptoms persist or worsen, further evaluation may be necessary to rule out other potential causes.

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Outcome measures for substance use disorders may include four main things:

1. Substance use frequency and quantity
2. Changes in physical and mental health status
3. Improvement in social functioning
4. Reduction in risky behaviors


Substance use frequency and quantity: This refers to how often and how much a person uses substances. Outcome measures for substance use disorders may track changes in substance use frequency and quantity over time, aiming for a reduction in both.  Changes in physical and mental health status: Substance use disorders can have detrimental effects on physical and mental health. Outcome measures may track changes in health status, such as improvements in liver function or reductions in symptoms of depression or anxiety.

Improvement in social functioning: Substance use disorders can also impact social functioning, such as relationships with family and friends, work or school performance, and involvement in criminal activities. Outcome measures may assess changes in social functioning and improvements in these areas. Reduction in risky behaviors: Substance use disorders can lead to risky behaviors such as driving under the influence or sharing needles. Outcome measures may track reductions in risky behaviors as a sign of progress towards recovery.

(IAMP) disorders refer to the International Classification of Diseases, Assessment, and Management of Substance Use Disorders.

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The Exercise Preparticipation Health Screening Process is based on three things: the individual's health status, their physical activity level, and their exercise goals.

The Exercise Preparticipation Health Screening Process is a systematic approach to determine whether an individual is ready and safe to participate in physical activity. The three key factors that guide this process are the individual's current health status, their physical activity level, and their exercise goals. Health status includes any current medical conditions or medications that may affect their ability to exercise safely. Physical activity level helps determine their current fitness level and potential risk for injury. Exercise goals help determine the appropriate intensity and type of exercise to meet their needs. By considering these three factors, a tailored exercise program can be created that is both safe and effective for the individual.

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Mr. White will receive the dosage form of "otic suspension" for his son's ciprofloxacin/dexamethasone prescription.

Ciprofloxacin/dexamethasone is a combination of antibiotic (ciprofloxacin) and steroid (dexamethasone) that is commonly used to treat ear infections.

The otic suspension form is specifically designed for use in the ear, providing an effective treatment for the infection and inflammation.

Hence,  In conclusion, the appropriate dosage form for Mr. White's son's ciprofloxacin/dexamethasone prescription is an otic suspension.

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The most likely diagnosis for the 65-year-old male with a worsening cough, hemoptysis, dyspnea, weakness, and weight loss is lung cancer.

These symptoms are commonly associated with lung cancer, especially in individuals with a history of heavy smoking.

Hemoptysis, or coughing up blood, is often a symptom of lung cancer as a tumor in the lung can cause bleeding. Dyspnea, or difficulty breathing, can also occur as the tumor grows and obstructs the airways.

Weight loss and weakness can be caused by cancer cells using up the body's energy and nutrients.

It is important for this individual to seek medical attention and receive further testing to confirm the diagnosis and develop a treatment plan. Quitting smoking may also be advised to prevent further complications.

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Treatment will be tailored based on the specific diagnosis and may include psychotherapy, medication, or lifestyle changes to address the contributing factors.

It seems like you're looking for an explanation of Adjustment Disorder with a focus on fatigue and sleepiness as a differential diagnosis (DDX).

Adjustment Disorder is a psychological condition that occurs when an individual experiences difficulty adapting to a major life stressor or change. This can lead to emotional and behavioral symptoms that negatively impact daily functioning.

Fatigue and sleepiness are common symptoms in various conditions, so it's important to consider them in a differential diagnosis. A differential diagnosis (DDX) is the process of distinguishing a particular condition from others that have similar symptoms.

When evaluating adjusting disorder with fatigue and sleepiness as presenting symptoms, it's essential to rule out other potential causes, such as:

1. Sleep disorders (e.g., insomnia, sleep apnea)
2. Depression or other mood disorders
3. Chronic Fatigue Syndrome
4. Medical conditions (e.g., anemia, thyroid disorders, diabetes)
5. Substance use or side effects from medications

A thorough assessment by a mental health professional or medical provider can help determine if the fatigue and sleepiness are due to Adjustment Disorder or another condition. Treatment will be tailored based on the specific diagnosis and may include psychotherapy, medication, or lifestyle changes to address the contributing factors.

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Mr. Roosevelt will receive a sublingual tablet of nitroglycerin if he is taking it to immediately stop an angina attack. Sublingual tablets are designed to dissolve under the tongue and be absorbed directly into the bloodstream, allowing for rapid onset of action.

In the case of nitroglycerin, the sublingual tablet works by relaxing the smooth muscle in the blood vessels, which reduces the workload on the heart and improves blood flow to the heart muscle. This can relieve the symptoms of angina, such as chest pain and shortness of breath, within a few minutes of taking the medication.

Other dosage forms of nitroglycerin, such as oral capsules, patches, or ointments, may be used for prophylactic treatment of angina or for long-term maintenance therapy, but they are not as effective for immediate relief of symptoms during an acute attack. It is important for patients taking nitroglycerin to understand how to use it properly and to seek medical attention if their symptoms do not improve or worsen after taking the medication.

In summary, for Mr. Roosevelt to receive the fastest relief from his angina attack, a sublingual tablet is the most suitable dosage form for his nitroglycerin prescription.

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A healthcare professional can diagnose Orthostatic Hypotension (Syncope/LOC DDX) and recommend appropriate treatment options.

To diagnose Orthostatic Hypotension (Syncope/LOC DDX), a healthcare professional will typically follow these steps:

1. Patient history: The doctor will ask about the patient's symptoms, medical history, and any medications they are taking. This helps to determine if orthostatic hypotension is the cause of syncope (fainting) or loss of consciousness (LOC).

2. Physical examination: The healthcare provider will perform a physical examination to look for any signs of underlying health conditions that could contribute to orthostatic hypotension.

3. Orthostatic vital signs: The doctor will measure the patient's blood pressure and heart rate while they are lying down, sitting, and standing. This helps to identify any significant changes in blood pressure or heart rate when changing positions, which is characteristic of orthostatic hypotension.

4. Laboratory tests: Blood tests may be ordered to check for anemia, electrolyte imbalances, or other conditions that could cause or worsen orthostatic hypotension.

5. Electrocardiogram (ECG): An ECG may be performed to assess the heart's electrical activity and identify any potential heart-related causes of syncope or LOC.

6. Tilt table test: In some cases, a tilt table test may be conducted to confirm the diagnosis of orthostatic hypotension. The patient is placed on a table that can be tilted upright, and their blood pressure and heart rate are monitored throughout the test.

By following these steps, a healthcare professional can diagnose Orthostatic Hypotension (Syncope/LOC DDX) and recommend appropriate treatment options.

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The inspiratory splitting of S2 is responsible due to the closure of the aortic, then pulmonic valves. So, the correct answer is A) Closure of the aortic, then pulmonic valves. During inspiration, there is a brief delay in the closing of the pulmonic valve, causing the splitting of the second heart sound (S2).

The correct answer is A) Closure of the aortic, then pulmonic valves. During normal inspiration, there is increased blood flow returning to the heart from the lungs, which causes a slight delay in the closure of the pulmonic valves. This delay leads to a brief period of time where the aortic valve closes before the pulmonic valve, resulting in the inspiratory splitting of S2. The tricuspid valves and mitral valves are not directly involved in the splitting of S2. However, they do play a role in the overall function of the heart by regulating blood flow through the chambers.

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Answer: a. wallboard

Explanation: An interior food service facility wall surface should not be constructed of wallboard. Wallboards are porous and can absorb moisture and food debris, leading to the growth of bacteria, mold, and mildew. This can result in contamination of the food being prepared in the facility, risking the health and safety of consumers. Marble and clay tile may be suitable for use in food service facility walls, but concrete is the most ideal option. Concrete is non-porous, durable, and easy to clean, making it a suitable and safe material for use in food service facilities.

An interior food service facility wall surface should not be constructed of wallboard. Option A

Since wallboard is a porous material, it is challenging to clean and sterilize properly since it can absorb moisture and food particles. This puts standards for food safety and hygiene at risk by encouraging the growth of bacteria, mildew, and other pollutants.

Alternative materials, including stainless steel, fiberglass-reinforced plastic (FRP) panels, or ceramic tiles, are frequently utilized for wall surfaces in food service facilities to maintain the highest levels of food safety, hygiene, durability, and compliance with laws.

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The correct equation for muscle endurance is B, strength + endurance = muscle endurance.

Muscle endurance is the ability of a muscle to perform a repeated number of contractions against a submaximal load. It is important for activities such as swimming, running, and cycling. Strength is the ability of a muscle to exert force against a resistance. It is important for activities such as lifting weights and sprinting.

Endurance is the ability of the body to perform physical activity for a prolonged period of time without fatigue. It is important for activities such as long-distance running and swimming.

The equation for muscle endurance is simply the sum of strength and endurance. This is because muscle endurance is determined by both the strength of the muscle and the ability of the muscle to resist fatigue.

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Based on the given symptoms, the most likely diagnosis is dysfunctional uterine bleeding (DUB). DUB refers to abnormal uterine bleeding that is not caused by any underlying organic pathology, such as fibroids or endometrial hyperplasia.

In DUB, menstrual bleeding is often prolonged, heavy, and occurs irregularly. It can be caused by hormonal imbalances, including anovulation, or irregular ovulation, which can lead to changes in the thickness of the endometrium, the lining of the uterus. Other possible causes of abnormal uterine bleeding include uterine fibroids, endometrial hyperplasia, or polyps, and bleeding disorders. Therefore, it is essential to consult a healthcare provider for further evaluation, diagnosis, and treatment options.

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The statement "one cup of a fruit or vegetable is equal to one banana, one small apple, twelve baby carrots, one orange, or one large sweet potato" is not entirely accurate. While it is true that one cup is a standard measurement used for fruits and vegetables in dietary recommendations, it does not equate to one specific fruit or vegetable.

Depending on the size and type of the product, a cup of a certain fruit or vegetable may contain a different amount than a cup of another. One cup of baby carrots, for instance, is roughly comparable to 20 baby carrots, but one cup of sliced bananas normally equals one giant banana.

It is crucial to keep in mind that the actual portion size may vary depending on the particular fruit or vegetable being ingested, even though the examples provided in the statement may be useful as broad recommendations for serving size estimation. A certified dietician or healthcare expert should also be consulted to determine the proper serving sizes and nutritional recommendations depending on each person's needs and preferences.

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The value that must be met to ensure the food's safety is the Critical Limit principle in a HACCP plan. HACCP, or Hazard Analysis and Critical Control Points, is a food safety management system that identifies, evaluates, and controls potential hazards in the food production process.

Critical Limits are established to ensure that the identified hazards are controlled at the critical control points (CCPs) within the process. These limits are measurable values, such as temperature or pH, that indicate whether the CCP is under control or not. If a critical limit is exceeded, corrective action must be taken to bring the CCP back under control and prevent any potential hazards from reaching the consumer. The importance of HACCP in ensuring food safety cannot be overstated, as it helps to prevent foodborne illnesses and contamination that can be harmful or even deadly. Therefore, it is critical that food businesses implement a robust HACCP plan and adhere to it strictly to ensure the safety and quality of their products.

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The statements made by the client that indicate that the education was effective are:
- "When I drink coffee or tea, I should use a non-dairy creamer instead of milk or cream."
- "I should replace 2% milk with lactose-free milk."

Lactose-free milk is a type of milk that has been treated to remove or reduce the lactose content. Lactose is a natural sugar found in milk that some people are unable to digest properly, leading to symptoms such as bloating, cramps, and diarrhea. Lactose-free milk is made by adding lactase enzyme to regular cow's milk, which breaks down the lactose into its component sugars, glucose and galactose, making it easier for people with lactose intolerance to digest. Lactose-free milk has the same nutritional value as regular milk and can be used in the same way, such as in cooking, baking, or as a beverage. It is also available in different varieties, such as skim, low-fat, or whole milk, and can be fortified with additional vitamins and minerals. Lactose-free milk is a convenient alternative for those who have difficulty digesting lactose or have lactose intolerance.

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The statement is True.In Dissociative Identity Disorder, each alternate personality, or alter, has its own pattern of perceiving, relating to, and thinking about the self. These alters often have distinct behaviors, emotions, and even memories, leading to the complex nature of the disorder.

Dissociative identity disorder (DID) is a complex psychological condition in which an individual has two or more distinct personality states, or identities, that take control of their behavior at different times. These alternate personalities may have their own unique characteristics, behaviors, memories, and patterns of perceiving, relating to, and thinking about the self and the world around them.

Individuals with DID may experience amnesia, or gaps in memory, for certain periods of time when a different personality is in control. Each identity may also have different emotions, attitudes, and beliefs about themselves and their experiences. This can make it difficult for individuals with DID to have a stable sense of self or to integrate their various identities into a cohesive whole.

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Answer: Well first off i feel bad for the patient, and i would say take some doxycycline 100 mg orally 2 times/day for 7 days simply because better safe than sorry and also because its the right medicine that should be recommended in a situation like this.

Explanation:

Based on the information provided, the most likely diagnosis for the 65-year-old male presenting with postural dizziness and unsteadiness is orthostatic hypotension. This could potentially be a side effect of the hydrochlorothiazide medication, which is commonly used to treat hypertension.

Orthostatic hypotension is a condition where blood pressure drops when standing up, leading to symptoms such as dizziness and lightheadedness. Further evaluation by a healthcare provider is recommended to confirm the diagnosis and adjust medication as needed.

Hi! Based on the information provided, the patient is likely experiencing orthostatic hypotension as a side effect of hydrochlorothiazide. This 65-year-old male with hypertension started the medication recently, and it may have contributed to his postural dizziness and unsteadiness. It is important for the patient to consult with their healthcare provider to discuss these symptoms and determine if an adjustment in medication is necessary.

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True. Wernicke's encephalopathy is a type of brain damage caused by a lack of vitamin B1 (thiamine) and if left untreated, it can be irreversible.

An explanation for this is that the damage to the brain cells caused by the thiamine deficiency can lead to permanent neurological impairments.
True or false: Wernicke's encephalopathy is irreversible.

With timely and appropriate treatment, such as thiamine supplementation and proper nutrition, the symptoms and damage can be reversed. However, if left untreated or not treated early enough, it may progress to a more severe and irreversible condition called Wernicke-Korsakoff syndrome. The key to preventing irreversible damage is early recognition and treatment of Wernicke's encephalopathy.

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The nurse would expect Shallow respirations in a client in the late stages of amyotrophic lateral sclerosis (ALS).

ALS is a progressive neurological disease that affects the nerve cells responsible for controlling voluntary muscles. As the disease progresses, the muscles that control breathing become weakened, leading to shallow and ineffective respirations. In the late stages of ALS, the patient's respiratory muscles become weaker, leading to difficulty in breathing and shallow respirations. This is a common finding as the disease progresses, while confusion, loss of half of the visual field, and tonic-clonic seizures are not typically associated with late-stage ALS.

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HIV/AIDS remains a significant cause of death in many populations. It is the 2nd leading cause of death (COD) in 25-34 year olds and the 3rd leading COD in 35-44 year olds.

HIV/AIDS remains a significant cause of death in many populations. It is the 8th leading cause of death (COD) in 25-34-year-olds and the 9th leading cause of death in 35-44-year-olds.

HIV can be transmitted via the exchange of a variety of body fluids from people living with HIV, such as blood, breast milk, semen and vaginal secretions. HIV can also be transmitted during pregnancy and delivery to the child. People cannot become infected through ordinary day-to-day contact such as kissing, hugging, shaking hands, or sharing personal objects, food or water.

It is important to note that people with HIV who are taking ART and are virally suppressed do not transmit HIV to their sexual partners. Early access to ART and support to remain on treatment is therefore critical not only to improve the health of people with HIV but also to prevent HIV transmission.

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This type of prevention is known as social and emotional prevention, as it aims to address the psychosocial impact of having HSV-2 by providing support and resources through support groups. While it may not directly prevent the transmission of the virus, it can help individuals manage their condition and reduce the stigma and isolation often associated with it.

The type of prevention described in your question is "secondary prevention." Setting up support groups for persons with HSV-2 (Herpes Simplex Virus Type 2) helps those who have already contracted the infection to manage their condition and reduce the risk of spreading it to others. Secondary prevention focuses on early detection, treatment, and management of a condition to minimize its impact and prevent further complications.

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The correct answer is c. Lethargy.

If the patient is experiencing lethargy after the administration of albuterol, it may indicate a negative reaction or side effect to the medication and the healthcare provider may need to adjust the medication or dosage. It is important for the nurse to monitor the patient's response to the medication and report any concerning symptoms to the healthcare provider.

The nurse is preparing to administer albuterol, which is a medication commonly used to treat asthma in patients. In this scenario, the nurse needs to assess the 11-year-old patient to ensure it's safe to administer the medication.

The correct answer is:
b. Apical pulse of 112

An increased apical pulse rate could indicate that the child's heart rate is elevated, which may be a side effect of albuterol. It is important for the nurse to report this finding to the health care provider, as they may need to adjust the medication dosage or choose a different treatment option for the patient's asthma.

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