Which of the following would the nurse most likely expect to find in a child with allergic rhinitis?
A) Wheezing
B) Blue-gray cast beneath eyes
C) Fever
D) Pharyngitis
B
Response:
The child with allergic rhinitis typically exhibits a bluish or grayish cast beneath the eyes or "allergic shiners." Wheezing may be present if the child also has an exacerbation of asthma. Fever and pharyngitis are not specific findings associated with allergic rhinitis.
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The nurse observes a tarry stool from a 16-year-old burn victim who has been in the ICU for 2 weeks. Which complication does the nurse document and report?
a. Diverticulitis b. Stress diarrhea c. Curling's ulcer d. Perforated bowel
After diagnostic testing, a patient is diagnosed with areas of cerebral focal infarctions. The nurse realizes that this patient's symptoms will most likely
1. accelerate. 2. extend into the brainstem. 3. resolve with treatment. 4. deteriorate into multiple system organ failure.
Nurse A has prepared scheduled medications for a client when Nurse B calls for immediate help. Nurse C offers to give the medications for Nurse A. Which is the most practical intervention for Nurse A to implement?
1. Discard the medication and help Nurse B with the client. 2. Give the medications directly to Nurse C for administration. 3. Lock the medications in the client's drawer and help Nurse B. 4. Ask Nurse C to help Nurse B; then administer the medications.
During the change of shift report a nurse is told that a patient has an occluded left posterior cerebral artery. The nurse will anticipate that the patient may have
a. dysphasia. b. confusion. c. visual deficits. d. poor judgment.