NursGuru
    Bsn 366 Rn Hesi Exit (Nightingale) Proctored Exam
    The nurse completes documentation on the client who is 10 hours post initial digitalization dose and furosemide dose. Click to highlight the findings that indicate the client is progressing as expected. Nurses Notes 1700 The client is post digitalization and furosemide. Client is being held by his parent. Infant can feed on demand. Lungs are clear to auscultation, and no accessory muscle use is noted. Shows no signs of cyanosis. Is feeding for 15 minutes every three hours using a 28 cal/oz (28 cal/30 mL) formula. His urine is clear, and the specific gravity is low. The client continues to have a loud holosystolic murmur noted. Pulses are 1+ through all extremities. Parents are at the bedside and are verbalizing their understanding of current care needs.

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