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An Infant with an Unrepaired Tetralogy of Fallot Defect Is

question 27

Short Answer

An infant with an unrepaired tetralogy of Fallot defect is becoming extremely cyanotic during a routine blood draw. Which interventions should the nurse implement? Place in order from the highest-priority intervention to the lowest-priority intervention. Provide the answer using lowercase letters separated by commas (e.g., a, b, c, d).
A) Administer 100% oxygen by blow-by.
B) Place the infant in knee-chest position.
C) Remain calm.
D) Give morphine subcutaneously or by an existing intravenous line.

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Definitions:

Arterial pH

A measure of the acidity or alkalinity of the blood in the arteries, which is essential for diagnosing and managing various medical conditions.

Respiratory Rate

The number of breaths a person takes per minute, which is a vital sign used to assess overall health and detect potential medical conditions.

Uncontrolled Diabetes

A state wherein a person's diabetes is not well-managed, resulting in consistently high blood sugar levels.

Undiagnosed Diabetes

A condition where an individual has diabetes but has not yet been diagnosed, often due to subtle or unrecognized symptoms.