After collecting data the nurse suspects that a young female patient is experiencing manifestations of toxic shock syndrome. What findings did the nurse use to make this decision? (Select all that apply.)
a. Sore throat
b. Skin peeling
c. Fluid retention
d. Red palm and soles of feet
e. Muscle pain and weakness
ANS: A, B, D, E
Individuals with toxic shock syndrome may experience a sore throat, rash, blisters, and petechiae, followed by peeling of the skin, redness of the palms and soles of the feet and muscle pain and weakness. C. Fluid retention is not a manifestation of toxic shock syndrome.
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After feeding, the nurse should position the infant on the:
a. stomach. b. right side. c. left side. d. back.
Nursing, as a profession, has long held the belief that providing nursing care to an individual patient means providing nursing care to the entire family. What does this mean when put into a holistic framework of patient care?
A) Families are caretakers even when the patient is not acutely ill. B) It is necessary for the nurse, patient, and the patient's family to integrate the physical and emotional environment of the patient. C) Active participation by individuals and families in health promotion is integral to this framework of patient care. D) This model is congruent with the philosophy of traditional patriarchal medicine.
A patient has been taking donepezil (Aricept)
for 2 weeks as part of the treatment for early stages of Alzheimer's disease. Her daughter calls the prescriber's office and is upset because "Mother has not improved one bit!" Which response by the nurse is appropriate? a. "Increase the dosage to twice daily." b. "It takes time for the cure to take effect." c. "It may take up to 6 weeks to see an improvement." d. "Take the medication on an empty stomach for improved absorption."
According to the "Recommended Childhood and Adolescent Immunization Schedule, 2006," individuals should receive how many doses of measles, mumps, and rubella (MMR)?
a. one c. three b. two d. four