An infant with tetralogy of Fallot (TOF) is having a hypercyanotic episode (tet spell). Which nursing interventions are appropriate? Select all that apply.
1. Administer oxygen.
2. Place the child in knee-chest position.
3. Administer morphine and propranolol intravenously as ordered.
4. Draw blood for a serum hemoglobin.
5. Administer diphenhydramine (Benadryl) as ordered.
Question 2
Which heart defect should the nurse suspect for an infant whose upper extremities have stronger pulses than the lower extremities and blood pressure is higher in the arms than in the legs?
1. Transposition of the great vessels
2. Patent ductus arteriosus
3. Coarctation of the aorta
4. Atrial septal defect
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