After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client complains of stiffness in his neck and his tongue “pulling to one side.” These
QUESTION 676After 7 hours in restraints and a total of 30-mg haloperidol in divided doses, a client complains of stiffness in his neck and his tongue “pulling to one side.” These
extrapyramidal symptoms (EPS) will most likely be relieved by the administration of:
A. Lorazepam (Ativan)
B. Benztropine (Cogentin)
C. Thiothixene (Navane)
D. Flurazepan (Dalmane)
QUESTION 677Medication is administered to a client who has been placed in restraints after a sudden violent episode, and his EPSs subside. Restraints can be removed when:
A. The physician orders it
B. A therapeutic alliance has been established, and violent behavior subsides
C. The violent behavior subsides, and the client agrees to behave
D. The nurse deems that removal of restraints is necessary
QUESTION 678A 16-year-old female client is admitted to the hospital because she collapsed at home while exercising with videotaped workout instructions. Her mother reports
that she has been obsessed with losing weight and staying slim since cheerleader try-outs 6 months ago, when she lost out to two of her best friends. The client is
5’4″ and weighs 92 lb, which represents a weight loss of 28 lb over the last 4 months. The most important initial intervention on admission is to:
A. Obtain an accurate weight
B. Search the client’s purse for pills
C. Assess vital signs
D. Assign her to a room with someone her own age
QUESTION 679Assessment of a client reveals a 30% loss of preillness weight, lanugo, and cessation of menses for 3 months. Her vital signs are BP 90/50, P 96 bpm, respirations
30, and temperature 97 F. She admits to the nurse that she has induced vomiting 3 times this morning, but she had to continue exercising to lose “just 5 more lb.”
Her symptoms are consistent with:
A. Pregnancy
B. Bulimia
C. Gastritis
D. Anorexia nervosa
QUESTION 680Blood work reveals the following lab values for a client who has been diagnosed with anorexia nervosa: hemoglobin 9.6 g/dL, hemocrit 27%, potassium 2.7 mEq/L,
sodium 126 mEq/L. The greatest danger to her at this time is:
A. Hypoglycemia from low-carbohydrate intake
B. Possible cardiac dysrhythmias secondary to hypokalemia
C. Dehydration from vomiting
D. Anoxia secondary to anemia
QUESTION 681A client suspected of having anorexia nervosa is placed on bed rest with an IV infusion and a high-carbohydrate liquid diet. Within 72 hours, the results of her lab
work show a return to normal limits. She is transferred to the psychiatric service for further treatment. A behavior modification plan is initiated. Three days after her
transfer, the client tells the nurse, “I haven’t exercised in 6 days. I won’t be eating lunch today.” This statement by her most likely reflects:
A. Her lack of internal awareness about the outcome of the behavior
B. Increased knowledge about personal exercise plans
C. A manipulative technique to trick the nurse into allowing her to miss a meal
D. A true desire to stay fit while in the hospital
QUESTION 682A client who has been diagnosed with anorexia nervosa refuses to eat lunch. The most therapeutic response by the nurse to her refusal is:
A. “Okay, missing one meal won’t hurt.”
B. “You’ll have to eat lunch, or we’ll force-feed you.”
C. “It’s not appropriate for you to try to manipulate the staff into granting your wishes.”
D. “We will not allow you to starve yourself. You may choose to eat voluntarily or be fed.”
QUESTION 683A client who has been diagnosed with anorexia nervosa reluctantly agrees to eat all prescribed meals. The most important intervention in monitoring her dietary
compliance would be to:
A. Allow her privacy at mealtimes
B. Praise her for eating everything
C. Observe behavior for 12 hours after meals to prevent vomiting
D. Encourage her to eat in moderation, choose foods that she likes, and avoid foods that she dislikes
QUESTION 684A 2-year-old boy fell out of bed and has a subdural hematoma. When his mother leaves him for the first time, you will expect the child to:
A. Be comforted when he is held
B. Cry
C. Not notice that his mother has left
D. Withdraw and become listless
QUESTION 685The doctor has ordered a restricted fluid intake for a 2- year-old child with a head injury. Normal fluid intake for a child of 2 years is:
A. 900 mL/24 hr
B. 1300 mL/24 hr
C. 1600 mL/24 hr
D. 2000 mL/24 hr
QUESTION 686A 2-year-old child with a scalp laceration and subdural hematoma of the temporal area as a result of falling out of bed should be prevented from:
A. Crying
B. Falling asleep
C. Rolling from his back to his tummy
D. Sucking his thumb
QUESTION 687A seventh grader lost consciousness after being hit in the head with a basketball. In the emergency room his vital signs are stable, and he demonstrates no
neurologic deficit. He will not be admitted to the hospital. It is most important that you advise his mother to:
A. Encourage him to drink plenty of fluids
B. Expect him to have nausea with vomiting
C. Keep him awake for the next 12 hours
D. Wake him up every 12 hours during the night
.QUESTION 688A 14-year-old boy fell off his bike while “popping a wheelie” on the dirt trails. He has sustained a head injury with laceration of his scalp over his temporal lobe. If he
were to complain of headache during the first 24 hours of his hospitalization, the nurse would:
A. Ask the physician to order a sedative
B. Have the client describe his headache every 15 minutes
C. Increase his fluid intake to 3000 mL/24 hr
D. Offer diversionary activities
QUESTION 689An 18-year-old girl is admitted to the hospital with a depressed skull fracture as a result of a car accident. If the nurse were to observe a rising pulse rate and
lowering blood pressure, the nurse would suspect that the client:
A. Has a sudden and severe increase in intracranial pressure
B. Has sustained an internal injury in addition to the head injury
C. Is beginning to experience a dangerously high level of anxiety
D. Is having intracranial bleeding
QUESTION 690The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as a result of falling out of bed and notices that she has a runny nose. The
nurse should:
A. Call the doctor immediately
B. Help her to blow her nose carefully
C. Test the discharge for sugar
D. Turn her to her side
QUESTION 691A 2-year-old boy is in the hospital outpatient department for observation after falling out of his crib and hitting his head. The nurse calls the physician to report:
A. Evidence of perineal irritation
B. Pulse fell from 102 to 96
C. Pulse increased from 96 to 102
D. Temperature rose to 102_F rectally
QUESTION 692The nurse is caring for a 3-month-old girl with meningitis. She has a positive Kernig’s sign. The nurse expects her to react to discomfort if she:
A. Dorsiflexes her ankle
B. Flexes her spine
C. Plantiflexes her wrist
D. Turns her head to the side
QUESTION 693The nurse is admitting an infant with bacterial meningitis and is prepared to manage the following possible effects of meningitis:
A. Constipation
B. Hypothermia
C. Seizure
D. Sunken fontanelles
QUESTION 694The nurse is caring for a 6-week-old girl with meningitis. To help her develop a sense of trust, the nurse should:
A. Give her a small soft blanket to hold
B. Give her good perineal care after each diaper change
C. Leave the door open to her room
D. Pick her up when she cries
QUESTION 695A 6-year-old girl is visiting the outpatient clinic because she has a fever and a rash. The doctor diagnoses chickenpox. Her mother asks the nurse how many baby
aspirins her daughter can have for fever. The nurse should:
A. Advise the mother not to give her aspirin
B. Ask if the client is allergic to aspirin before giving further information
C. Assess the function of the client’s cranial nerve VIII
D. Check the aspirin bottle label to determine milligrams per tablet
QUESTION 696A 2-year-old child is recovering from surgery. Considering growth and development according to Erikson, the nurse identifies which of the following play activities as
most appropriate?
A. Assembling a puzzle with large pieces
B. Being taken for a wheelchair ride
C. Listening to a story about the Muppets
D. Watching Sesame Street on television
QUESTION 697A 14-year-old boy has a head injury with laceration of his scalp over his ear. The nurse should call the physician to report:
A. Blood pressure increase from 100/80 to 115/85 after lunch
B. Headache that is unresponsive to acetaminophen (Tylenol)
C. Pulse rate ranges between 68 bpm and 76 bpm
D. Temperature rise to 102_F rectally
QUESTION 698The nurse is teaching a child’s parents how to protect the child from lead poisoning. The nurse knows that a common source of lead poisoning in children is:
A. Dandelion leaves
B. Pencils
C. Old paint
D. Stuffing from toy animals
QUESTION 699A woman diagnosed with multiple sclerosis is disturbed with diplopia. The nurse will teach her
to:
A. Limit activities which require focusing (close vision)
B. Take more frequent naps
C. Use artificial tears
D. Wear a patch over one eye
QUESTION 700In planning daily care for a client with multiple sclerosis, the nurse would take into consideration that multiple sclerosis:
A. Becomes progressively debilitating without remission
B. Has unpredictable remissions and exacerbations
C. Is rapidly fatal
D. Responds quickly to antimicrobial therapy
QUESTION 701A client with a head injury asks why he cannot have something for his headache. The nurse’s response is based on the understanding that analgesics could:
A. Counteract the effects of antibiotics
B. Elevate the blood pressure
C. Mask symptoms of increasing intracranial pressure
D. Stimulate the central nervous system
QUESTION 702To prevent transmission of bacterial meningitis, the nurse would instruct an infected baby’s mother to:
A. Avoid touching the baby while in the room.
B. Stay outside of the baby’s room.
C. Wear a gown and gloves and wash her hands before and after leaving the room.
D. Wear a mask while in the room.
QUESTION 703A client is scheduled for a magnetic resonance imaging (MRI) to locate a cerebral lesion. It is important for the nurse to find out if he has a(n):
A. Allergy to seafood
B. History of seizures
C. Movable metal implant
D. Pin or screw in any bone
QUESTION 704A child is admitted with severe headache, fever, vomiting, photophobia, drowsiness, and stiff neck associated with viral meningitis. She will be more comfortable if
the nurse:
A. Dims the lights in her room
B. Encourages her to breathe slowly and deeply
C. Offers sips of warm liquids
D. Places a large, soft pillow under her head
QUESTION 705A 30-year-old client has been admitted to the psychiatric service with the diagnosis of schizophrenia. He tells the nurse that when the woman he had been dating
broke up with him, the CIA had replaced her with an identical twin. The client is experiencing:
A. Grandiose delusions
B. Paranoid delusions
C. Auditory hallucinations
D. Visual hallucinations
QUESTION 706A client tells the nurse that he has been hearing voices that tell him to kill his girlfriend because she is a spy. He further states that he is having difficulty not obeying
the voices because, if he does not, his house will be burned down. The highest priority nursing diagnosis for him at this time is:
A. Sensory-perceptual alteration: auditory command hallucinations
B. Alteration in thought processes: paranoid delusions
C. Potential for violence directed at others
D. Impaired verbal communication: loose associations
QUESTION 707A client reports to the nurse that the voices are practically nonstop and that he needs to leave the hospital immediately to find his girlfriend and kill her. The best
verbal response to the client by the nurse at this time is:
A. “I understand that the voices are real to you, but I want you to know I don’t hear them. They are a symptom of your illness.”
B. “Just don’t pay attention to the voices. They’ll go away after some medication.”
C. “You can’t leave here. This unit is locked and the doctor has not ordered your discharge.”
D. “We will have to put you in seclusion and restraints for a while. You could hurt someone with thoughts like that.”
QUESTION 708The physician orders haloperidol 5 mg IM stat for a client and tells the nurse that the dose can be repeated in 12 hours if needed. The most likely rationale for this
order is:
A. The client will settle down more quickly if he thinks the staff is medicating him
B. The medication will sedate the client until the physician arrives
C. Haloperidol is a minor tranquilizer and will not oversedate the client
D. Rapid neuroleptization is the most effective approach to care for the violent or potentially violent client
QUESTION 709Two hours after the second injection of haloperidol, a client complains to the nurse of a stiff neck and inability to sit still. He is experiencing symptoms consistent
with:
A. Parkinsonism and dystonia
B. Dystonia and akathisia
C. Akathisia and parkinsonism
D. Neuroleptic malignant syndrome
QUESTION 710The physician orders medication for a client’s unpleasant side effects from the haloperidol. The most appropriate drug at this time is:
A. Lorazepam
B. Triazolam (Halcion)
C. Benztropine
D. Thiothixene
QUESTION 711A psychiatric client has been stabilized and is to be discharged. The nurse will recognize client insight and behavioral change by which of the following client
statements?
A. “When I get home, I will need to take my medicines and call my therapist if I have any side effects or begin to hear voices.”
B. “If I have any side effects from my medicines, I will take an extra dose of Cogentin.”
C. “When I get home, I should be able to taper myself off the Haldol because the voices are gone now.”
D. “As soon as I leave here, I’m throwing away my medicines. I never thought I needed them anyway.”
QUESTION 712The nurse is developing a plan of care for a client with an electrolyte imbalance and identifies a nursing diagnosis of decreased physical mobility. Which alteration
is most likely the etiology?
A. Hypernatremia
B. Hypocalcemia
C. Hypokalemia
D. Hypomagnesemia
QUESTION 713The nurse is assessing breath sounds in a bronchovesicular client. She should expect that:
A. Inspiration is longer than expiration
B. Breath sounds are high pitched
C. Breath sounds are slightly muffled
D. Inspiration and expiration are equal
QUESTION 714Discharge teaching for the client who has a total gastrectomy should include which of the following?
A. Need for the client to increase fluid intake to 3000 mL/day
B. Follow-up visits every 3 weeks for the first 6 months
C. B12 injections needed for the rest of the client’s life
D. Need to eat three full meals with plenty of fiber per day
QUESTION 715Which of the following findings would necessitate discontinuing an IV potassium infusion in an adult with ketoacidosis?
A. Urine output 22 mL/hr for 2 hours
B. Serum potassium level of 3.7
C. Small T wave of ECG
D. Serum glucose level of 180
QUESTION 716A client is receiving IV morphine 2 days after colorectal surgery. Which of the following observations indicate that he may be becoming drug dependent?
A. The client requests pain medicine every 4 hours.
B. He is asleep 30 minutes after receiving the IV morphine.
C. He asks for pain medication although his blood pressure and pulse rate are normal.
D. He is euphoric for about an hour after each injection.
QUESTION 717The nurse assesses a postoperative mastectomy client and notes that breath sounds are diminished in both posterior bases. The nurse’s action should be to:
A. Encourage coughing and deep breathing each hour
B. Obtain arterial blood gases
C. Increase O2 from 23 L/min
D. Remove the postoperative dressing to check for bleeding
QUESTION 718Which of the following should the nurse anticipate receiving as an as-needed order for a postoperative carotid endarterectomy client?
A. Nifedipine 10 mg SL for B/P 140/90
B. Furosemide 20 mg/PO for decreased urine output
C. Magnesium salicylate to decrease inflammation
D. Nitroglycerin gr 1/150 for chest pain
.QUESTION 719Three hours postoperatively, a 27-year-old client complains of right leg pain after knee reduction. The first action by the nurse will be to:
A. Assess vital signs
B. Elevate the extremity
C. Perform a lower extremity neurovascular check
D. Remind the client that he has a client-controlled analgesic pump, and reinstruct him on its use
QUESTION 720Goal setting for a client with Meniere’s disease should include which of the following?
A. Frequent ambulation
B. Prevention of a fall injury
C. Consumption of three meals per day
D. Prevention of infection
.QUESTION 721Which of the following physician’s orders would the nurse question on a client with chronic arterial insufficiency?
A. Neurovascular checks every 2 hours
B. Elevate legs on pillows
C. Arteriogram in the morning
D. No smoking
QUESTION 722A client is admitted to the hospital with a diagnosis of aplastic anemia and placed on isolation. The nurse notices a family member entering the room without
applying the appropriate apparel. The nurse will approach the family member using the following information as a basis for discussion:
A. The risks of exposure of the visitor to infectious organisms is great.
B. Hospital regulations mandate that everyone in the facility adhere to appropriate codes.
C. The client is at extreme risk of acquiring infections.
D. Adherence to the guidelines are the latest Centers for Disease Control and Prevention recommendations on use of protective apparel.
QUESTION 723 The nurse enters the room of a client on which a “do not resuscitate” order has been written and discovers that she is not breathing. Once the husband realizes
what has occurred he yells, “please save her!” The nurse’s action would be:
A. Call the physician and inform him that the client has expired.
B. Remind the husband that the physician wrote an order not to resuscitate.
C. Discuss with the husband that these orders are written only on clients who are not likely to recover with resuscitative efforts.
D. Call a code and proceed with cardiopulmonary resuscitation.
QUESTION 724The nurse is in the hallway and one of the visitors faints. The nurse should:
A. Sit the victim up and lightly slap his face
B. Elevate the victim’s legs
C. Apply a cool cloth to the victim’s neck and forehead until he recovers
D. Sit the victim up and place the head between the knees
QUESTION 725The nurse is teaching a client how to perform monthly testicular self-examination (TSE) and states that it is best to perform the procedure right after showering.
This statement is made by the nurse based on the knowledge that:
A. The client is more likely to remember to perform the TSE when in the nude
B. When the scrotum is exposed to cool temperatures, the testicles become large and bulky
C. The scrotum will be softer and more relaxed after a warm shower, making the testicles easier to palpate
D. The examination will be less painful at this time
QUESTION 726The nurse discovers that a 78-year-old client who received hydralazine (Apresoline) 20 mg 45 minutes ago has a blood pressure of 70/40 mm Hg. The client has
been on this dose of the medication for 3 years. Which of the following data is most likely significant in relation to the cause of the low blood pressure?
A. Pedal pulses 11 (weak)
B. Twenty-four-hour intake 1000 mL/day for past 2 days
C. Serum potassium 3.3
D. Pulse rate 150 bpm
QUESTION 727A client admitted with a diagnosis of possible myocardial infarction is admitted to the unit from the emergency room. The nurse’s first action when admitting the
client will be to:
A. Obtain vital signs
B. Connect the client to the cardiac monitor
C. Ask the client if he is still having chest pain
D. Complete the history profile
QUESTION 728The nurse is interviewing a client with a diagnosis of possible abdominal aortic aneurysm. Which of the following statements will be reflected in the client’s chief
complaint?
A. “I’ve been having a dull pain at the upper left shoulder.”
B. “My legs have been numb for three months.”
C. “I’ve only been urinating three times a day lately.”
D. “I don’t remember anything in particular, I just haven’t felt well.”
QUESTION 729The nurse is collecting a nutritional history on a 28- year-old female client with iron-deficiency anemia and learns that the client likes to eat white chalk. When
implementing a teaching plan, the nurse should explain that this practice:
A. Will bind calcium and therefore interfere with its metabolism
B. Will cause more premenstrual cramping
C. Interferes with iron absorption because the iron precipitates as an insoluble substance
D. Causes competition at iron-receptor sites between iron and vitamin B1
QUESTION 730Which of the following lab data is representative of a client with aplastic anemia?
A. Hemoglobin 9.2, hematocrit 27, red blood cells 3.2 million
B. White blood cells 4000, erythrocytes 2.5 million, thrombocytes 100,000
C. White blood cells 3000, hematocrit 27, red blood cells 2.8 million
D. Red blood cells 1 million, white blood cells 1500, thrombocytes 16,000
QUESTION 731A 20-year-old male client is being treated for protein deficiency. If he likes all of the following foods, which one would the nurse recommend to increase in the diet?
A. Cantaloupe
B. Rice
C. Chicken
D. Green beans
QUESTION 732A client states to his nurse that “I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells.” Based on this
information, which drug might the nurse expect to be discontinued?
A. Prednisone
B. Timolol maleate (Blocadren)
C. Garamycin (Gentamicin)
D. Phenytoin (Dilantin)
QUESTION 733Forty-eight hours after a thyroidectomy, a female client complains of numbness and tingling of the toes and fingers. The nurse notes upper arm and facial twitching.
The nurse needs to:
A. Report the findings to the physician
B. Assist the client to do range of motion exercises
C. Check the client’s potassium level
D. Administer the as-needed dose of phenytoin (Dilantin)
QUESTION 734The nurse is admitting a client with folic acid deficiency anemia. Which of the following questions is most important for the nurse to ask the client?
A. “Do you take aspirin on a regular basis?”
B. “Do you drink alcohol on a regular basis?”
C. “Do you eat red meat?”
D. “Have your stools been normal?”
QUESTION 735An 18-month-old child has been playing in the garage. His mother brings him to a nurse’s home complaining of his mouth being sore. His lips and mouth are soapy
and white, with small ulcerated areas beginning to form. The child begins to vomit. His pulse is rapid and weak. The nurse suspects that the child has:
A. Inhaled gasoline fumes
B. Ingested a caustic alkali
C. Eaten construction chalk
D. Lead poisoning
QUESTION 736
In discussing the plan of care for a child with chronic nephrosis with the mother, the nurse identifies that the purpose of weighing the child is to:
A. Measure adequacy of nutritional management
B. Check the accuracy of the fluid intake record
C. Impress the child with the importance of eating well
D. Determine changes in the amount of edema
QUESTION 737The parents of a 9-year-old child with acute lymphocytic leukemia expressed concern about his alopecia from cranial irradiation. The nurse explains that:
A. Alopecia is an unavoidable side effect.
B. There are several wig makers for children.
C. Most children select a favorite hat to protect their heads.
D. His hair will grow back in a few months.
QUESTION 738Loss of appetite for a child with leukemia is a major recurrent problem. The plan of care should be designed to:
A. Reinforce attempts to eat
B. Help the child gain weight
C. Increase his appetite
D. Make mealtimes pleasant
QUESTION 739The mother of a child taking phenytoin will need to plan appropriate mouth care and gingival stimulation. When tooth-brushing is contraindicated, the next most
effective cleansing and gingival stimulation technique would be:
A. Using a water pik
B. Rinsing with water
C. Rinsing with hydrogen peroxide
D. Rinsing with baking soda
QUESTION 740When planning care for a 9-year-old client, the nurse uses which of the most effective means of helping siblings cope with their feelings about a brother who is
terminally ill?
A. Open discussion and understanding
B. Play-acting out feelings in different roles
C. Storytelling
D. Drawing pictures
QUESTION 741During the active phase of rheumatic fever, the nurse teaches parents of a child with acute rheumatic fever to assist in minimizing joint pain and promoting healing
by:
A. Putting all joints through full range-of-motion twice daily
B. Massaging the joints briskly with lotion or liniment after bath
C. Immobilizing the joints in functional position using splints, rolls, and pillows
D. Applying warm water bottle or heating pads over involved joints
QUESTION 742The initial focus when providing nursing care for a child with rheumatic fever during the acute phase of the illness should be to:
A. Maintain contact with her parents
B. Provide for physical and psychological rest
C. Provide a nutritious diet
D. Maintain her interest in school
QUESTION 743During discharge planning, parents of a child with rheumatic fever should be able to identify which of the following as toxic symptoms of sodium salicylate?
A. Tinnitus and nausea
B. Dermatitis and blurred vision
C. Unconsciousness and acetone odor of the breath
D. Chills and an elevation of temperature
QUESTION 744Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
A. Subsides in<3 weeks
B. Is relieved by aspirin
C. Is responsive to ibuprofen (Motrin)
D. Subsides in 36 days
.QUESTION 745In caring at home for a child who just ingested a caustic alkali, the nurse would immediately tell the mother to:
A. Give vinegar, lemon juice, or orange juice
B. Phone the doctor
C. Take the child to the emergency room
D. Induce vomiting
QUESTION 746The most important goal in the care plan for a child who was hospitalized with an accidental overdose would be to:
A. Determine child’s activity pattern
B. Reduce mother’s sense of guilt
C. Instruct parents in use of ipecac
D. Teach parents appropriate safety precautions
QUESTION 747A 4 year old has an imaginary playmate, which concerns the mother. The nurse’s best response would be:
A. “I understand your concern and will assist you with a referral.”
B. “Try not to worry because you will just upset your child.”
C. “Just ignore the behavior and it should disappear by age 8.”
D. “This is appropriate behavior for a preschooler and should not be a concern.”
QUESTION 748Parents should be taught not to prop the bottle when feeding their infants. In addition to the risk of choking, it puts the infant at risk for:
A. Otitis media
B. Asthma
C. Conjunctivitis
D. Tonsillitis
QUESTION 749When assessing a female child for Turner’s syndrome, the nurse observes for which of the following symptoms?
A. Tall stature
B. Amenorrhea
C. Secondary sex characteristics
D. Gynecomastia
QUESTION 750The mother of a client is apprehensive about taking home her 2 year old who was diagnosed with asthma after being admitted to the emergency room with difficulty
breathing and cyanosis. She asks the nurse what symptoms she should look for so that this problem will not happen again. The nurse instructs her to watch for the
following early symptoms:
A. Fever, runny nose, and hyperactivity
B. Changes in breathing pattern, moodiness, fatigue, and edema of eyes
C. Fatigue, dark circles under the eyes, changes in breathing pattern, glassy eyes, and moodiness
D. Fever, cough, paleness, and wheezing
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