Which of the following actions would the nurse take when finding an innocent murmur while listening to a child's heart?
a. Refer the child and mother to a cardiologist.
b. Advise the caregiver(s) to restrict the child's activity.
c. Teach the family that this murmur needs no intervention.
d. Get an order for oxygen, and administer it as soon as possible.
C
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A Incorrect. The nurse would not refer the child and mother to a cardiologist.
B Incorrect. The nurse would not advise the caregiver(s) to restrict the child's activity.
C Correct. The nurse would teach the family that this murmur needs no intervention and is not pathological, indicating no structural or functional heart disease.
D Incorrect. The nurse would not get an order for oxygen, and administer it as soon as possible.
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