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The Nurse Is Caring for a 2-Week-Old Client Who Has

Question 58

Multiple Choice

The nurse is caring for a 2-week-old client who has tetralogy of Fallot.  Which assessment finding is a priority to report to the health care provider?


A) Hemoglobin level of 24.9 g/dL (249 g/L)
B) Murmur noted on heart auscultation
C) Newborn becomes fatigued during feeding
D) Newborn has gained 0.6 lb (0.3 kg) since birth

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