You and your partner arrive at the scene shortly after a 2-year-old child experienced an apparent seizure. The child's father tells you that his son's entire body began shaking and that the episode lasted less than 5 minutes. Your assessment of the child reveals that he is conscious, is crying, and has hot, moist skin. His heart rate is 160 beats/min, and his respirations are 40 breaths/min. You should:
A) advise the father to take his son to see a pediatrician the following day.
B) cool the child with tepid water, administer high-flow oxygen, and transport.
C) establish vascular access, give a 20-mL/kg saline bolus, and transport him.
D) keep the child cool and transport him to the hospital for physician evaluation.
Answer: D) keep the child cool and transport him to the hospital for physician evaluation.
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Parents of a newborn infant are concerned that their baby may have sickle cell disease. The nurse reviews the medical record and finds that both parents have the sickle cell trait. Which is the best response for the nurse to give the parents?
A) "Since neither of you actually has sickle cell disease, your baby is not at risk." B) "Your baby has the disease, as you both carry the trait." C) "As you both have the sickle cell trait, your baby will be tested for the disease." D) "Have you talked to a genetic counselor about your concerns?"
The nurse is providing care to a client who is "in crisis." The client recently lost a job, was served with divorce papers, and has been sick with a cold for 1 month. Which nursing statement demonstrates understanding of the care of a client in crisis?
A) "Experiencing a crisis is never positive, so we must work to relieve your anxiety as soon as possible." B) "People generally find it easier to work through a crisis if someone is working with them." C) "Men often handle crisis better individually, whereas women do better with a counselor." D) "Once you reach the crisis state, you may remain there for several months until you recover."
Which of the following adverse drug effects are most frequently associated with use of losartan (Cozaar)?
a. Fatigue and headache b. Diarrhea and dyspepsia c. Muscle cramps and myalgia d. Back and leg pain
You are planning an educational program for a patient who has experienced a vaginal infection. What guidelines would you include in this program regarding prevention?
A) Wear tight-fitting synthetic underwear. B) Use bubble bath. C) Avoid feminine hygiene products (sprays). D) Restrict daily bathing.