Answer to Question 1
A, C, D
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Correct Following the administration of immunizations, common reactions lasting 1 to 2 days include irritability.
Following the administration of immunizations, common reactions lasting 1 to 2 days include redness, tenderness, and swelling at the injection site.
Following the administration of immunizations, common reactions lasting 1 to 2 days include mild loss of appetite.
Incorrect While a low-grade fever is common, the fever should not be greater than 38.9 degrees C (102 degrees F).
Answer to Question 2
C
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A Incorrect. Once the child becomes moderately anemic, he or she does not present with yellow color of skin, fatigue, and increased aggressiveness.
B Incorrect. Once the child becomes moderately anemic, he or she does not present with mottling of skin, joint pain, and muscular weakness.
C Correct. Once the child becomes moderately anemic, he or she presents with general irritability, weakness, and lack of interest in play.
D Incorrect. Once the child becomes moderately anemic, he or she does not present with respiratory distress, cardiac irregularities, and seizures.
The nurse applies a pulse oximeter sensor on the client’s finger.
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