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[Expert Solution]: When assessing the breath sounds of an…

When assessing the breath sounds of an 18-month-old child who is crying, what action should the nurse take?A. Ask the parent to quiet the child so breath sounds can be auscultated.B. Auscultate and document breath sounds, noting that the child was crying at the time.C. Document that the assessment is not available because the child is crying.IncorrectD. Allow the child to initially play with the stethoscope, and distract during auscultation.17. The nurse is developing a plan of care for a newborn with a colostomy due to anal agenesis, and the infant has had three loose stools since surgery yesterday. Which nursing diagnos the highest priority?Potential for fluid volume deficit.B. Alteration in bowel elimination.C. O Pain related to postoperative condition.D. Anxiety of parents related to newborn’s condition.1 C…18. A client’s spouse is learning passive range-of-motion for the client’s contracted shoulder. The nurse observes that the spouse is holding the client’s arm above and below the elbow. W nursing action should the nurse implement?A. Acknowledge that the spouse is supporting the arm correctly.B. Encourage the spouse to keep the joint covered to maintain warmth.C. Reinforce the need to grip directly under the joint for better support.D. O Instruct the spouse to grip directly over the joint for better motion.

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