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A Mother Brings Her 3-Month-Old Infant to the Clinic for Evaluation

Question 14

Multiple Choice

A mother brings her 3-month-old infant to the clinic for evaluation of a cold.She tells the nurse that he had "a runny nose for a week." When performing the physical assessment,the nurse notes that the child has nasal flaring and sternal and intercostal retractions.The nurse's next action should be to:


A) assure the mother that these are normal symptoms of a cold.
B) recognize that these are serious signs and contact the physician.
C) ask the mother if the infant has had trouble with feedings.
D) perform a complete cardiac assessment because these are probably signs of early heart failure.

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