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A Nine-Year-Old Boy Has Been Transferred Back to the Unit

Question 65

Multiple Choice

A nine-year-old boy has been transferred back to the unit after cardiac surgery. The doctor advised the nurse to monitor his hydration status. Which of the following would a nurse need to include in the plan of care to evaluate that the fluid needs are being met?


A) Notify the physician if the cardiac rate is >60 bpm
B) Insert a foley catheter
C) Prepare to assist with an arterial line to monitor BP
D) Calculate the daily maintenance fluid replacement and ensure proper delivery

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