A child who was visiting a wooded area on vacation presents to the doctor's office with a localized bull's-eye rash. Which action by the nurse is the most appropriate?
A.
Advise parents that treatment depends on laboratory results.
B.
Assess for cardiac and neurological involvement.
C.
Facilitate admission to a nearby hospital.
D.
Teach the parents about cefuroxime (Ceftin).
ANS: D
This child may have early Lyme disease, which is treated presumptively with Ceftin prior to obtaining laboratory results. By the time carditis and neurological involvement occur, the rash has generalized. Admission is not warranted.
You might also like to view...
A child with diabetes mellitus is observed to have cold symptoms. What signs and symptoms will alert parents of the possibility of ketoacidosis? (Select all that apply.)
a. Chest congestion b. Ear pain c. Fruity breath d. Hyperactivity e. Nausea
When preparing to administer apomorphine, the nurse collects appropriate equipment consisting of:
a. a plastic medicine cup, because this comes only in liquid form. b. a 22-gauge 1 1/2 inch needle on a 3 mL syringe. c. a 25-gauge 5/8 inch needle on a 1 mL syringe. d. a clean glove and water-soluble lubricant
The nurse is using the Braden Scale to determine a client's risk for developing a pressure ulcer. Which of the following areas are assessed with this scale?
1. Home environment 2. Finances 3. Medications 4. Friction and shear
Health promotion and health protection are two elements of primary prevention. What definition would the nurse use when explaining health promotion?
A) Emphasis on helping people change their lifestyles B) Protecting people from disease and injury C) Providing annual immunizations D) Eliminating exposure to environmental health hazards