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Measuring the student's oral temperature is not the first intervention in this case. Flu-like symptoms can include fever, but fever is a common symptom for many illnesses, including the flu. Given the context of a tick bite and the potential for tick-borne illnesses such as Lyme disease, it's important to consider other specific symptoms and signs related to tick exposure.

Inform the student of Lyme disease signs and symptoms: While educating the student about Lyme disease signs and symptoms is important, it may not be the first intervention. The priority should be to assess the student's current condition and look for immediate indicators, especially considering the recent tick exposure.

Instruct the student's parent to seek medical attention: While seeking medical attention is important, it may not be the first intervention unless there is an immediate concern for severe symptoms. It's important to assess the student's current condition and gather more information before determining if urgent medical attention is necessary.

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Rooting, hunger, and irritability: These symptoms are not directly associated with pyloric stenosis. Rooting, hunger, and irritability are typical behaviours in infants and are not specific indicators of pyloric stenosis. Forceful vomiting, as described in the scenario, is more characteristic of pyloric stenosis.

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Bile-stained emesis: While vomiting can occur in pyloric stenosis, bile-stained emesis is not a specific finding for pyloric stenosis alone. It can occur in various gastrointestinal conditions, and its presence does not necessarily confirm pyloric stenosis.

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Perianal diaper rash from persistent diarrhea: Persistent diarrhea and perianal diaper rash are not typical features of pyloric stenosis. Pyloric stenosis primarily presents with forceful vomiting due to the obstruction at the pylorus, causing retained stomach contents. Diarrhea and diaper rash would be

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6 months: This is the time frame for the third dose, which comes after the second dose. It's not the correct interval for the next dose after the first dose.

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12 months: This is the time frame for the third dose, not the second dose. It's too long of an interval after the first dose.

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4 months: This is the correct interval for the second dose after the first dose of the hepatitis B vaccine. It ensures that the infant receives timely protection against the virus.

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Peritonitis: While infection (such as peritonitis) is a potential complication of shunt placement, it is not the most common reason for shunt revision.

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Hydrocephalus has increased: While increased hydrocephalus could potentially lead to shunt revision, it is not necessarily the most common reason. The shunt is placed precisely to manage hydrocephalus, and it's the malfunction of the shunt components that often necessitates revision.

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Child has grown since placement: Growth of the child is an important consideration when managing a VP shunt, but it is not the most common reason for shunt revision. The shunt system should ideally accommodate the child's growth, and adjustments can be made during follow-up appointments without necessarily requiring a revision.

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Placing the infant in a prone position during sleep can increase the risk of sudden infant death syndrome (SIDS) and is not recommended. Infants should be placed on their backs to sleep to ensure their safety.

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Reclining during feeding may not necessarily decrease the work of breathing and can potentially lead to choking. Infants with respiratory issues might benefit from feeding in an upright position to help with breathing.

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Albuterol nebulizer treatments are commonly used for conditions like asthma and wheezing, but they are not typically indicated for RSV infection in infants. The management of RSV mainly focuses on supportive care, such as ensuring proper hydration and providing comfort.

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Administer a prescription for a PRN analgesic: While pain management is important, an increase in respiratory rate and heart rate could indicate other potential issues, such as respiratory distress or other complications. Administering an analgesic may not address the underlying cause of the increased vital signs and could potentially mask important clinical information.

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Wrap the infant tightly and rock in a rocking chair: This action is unlikely to address the potential underlying issue causing the increase in vital signs. It's important to prioritize a comprehensive assessment and appropriate medical intervention.

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Record the findings in the child's record: Recording the findings is an important step, but it does not address the immediate need for clinical assessment and intervention if the infant is experiencing distress.

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Administering ondansetron is not recommendable. Ondansetron is an antiemetic used to control nausea and vomiting, typically given to manage chemotherapy-induced nausea. It's not directly related to flushing the port.

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Obtain blood samples for RBCs, WBCs, and platelets: Obtaining blood samples is important for monitoring the patient's blood cell counts, but it's not related to flushing the port. Blood samples are usually drawn from peripheral veins, not the port.

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Initiating an infusion of normal saline might be done for hydration or as part of the patient's treatment plan, but it's not specifically related to flushing the port after completing the chemotherapy infusion. Flushing the port helps prevent clot formation within the port and catheter.

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Restrict intake of oral fluids: While fluid restriction may be necessary in managing heart failure, it's important to first assess the child's respiratory status and lung sounds to determine if there is fluid overload causing pulmonary congestion.

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Graphing the daily weight is important for monitoring trends, but when a sudden weight gain is observed, the immediate priority is to assess the child's condition, particularly their respiratory status.

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Decrease Intravenous (IV) flow rate: Adjusting the IV flow rate may be necessary, but this should be done based on a comprehensive assessment that includes evaluating lung sounds and other clinical indicators. Simply decreasing the IV flow rate without assessing the child's lung sounds could potentially overlook a critical issue.