A 6-week-old infant is brought into the emergency department with a cough that ends in a crowing sound, followed by vomiting. The nurse suspects which of the following illnesses?
1. Pertussis
2. Diptheria
3. Bronchiolitis
4. Respiratory Syncytial Virus
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1. Characteristic signs and symptoms of pertussis, or whooping cough, include cold symptoms with coryza, mild cough and fever in the early stages, progressing to a cough ending with a crowing (whooping) that may be severe enough to cause vomiting and cyanosis.
2. The child will have diarrhea and fevers with diphtheria.
3. The child will have symptoms of wheezing and difficulty breathing with Bronchiolitis.
4. The child will have large amounts of mucous and wheezing present with RSV.
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A) Imbalanced nutrition: more than body requirements related to assisted feedings B) Imbalanced nutrition: less than body requirements related to inability to swallow foods and liquids C) Deficient knowledge related to need for thickened liquids D) Noncompliance related to need for thickened liquids
A client hospitalized for injuries from a motor vehicle crash is diagnosed with higher brain death. What findings support this client's diagnosis?
1. Episodic coughing 2. No cephalic reflexes 3. Not breathing spontaneously 4. Inconsistent cardiac function on the heart monitor 5. Electroencephalogram showed no activity for 30 minutes
The nurse is speaking with a parent regarding their child's recent diagnosis of oppositional defiant disorder. Which statement by the parent would cause the nurse to question the diagnosis?
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The patient has a 15-cm laceration on his right forearm, and an infection develops. Which of the following is a sign of an acute inflammatory process?
a. A blanching of the skin b. A decrease in temperature at the site c. A decrease in the number of white blood cells (WBCs) d. A release of histamine that adds to the pain response