The nurse works in a summer camp for children. One of the children says she was bitten by several wasps. The nurse plans to inject the child with epinephrine (EpiPen) if which symptoms are present? (Select all that apply.)

1. The child is restless and confused.
2. The child's skin feels warm and dry.
3. The child is thirsty.
4. The child's skin feels cold and clammy.
5. The child is hyperactive and hyperverbal.


1. The child is restless and confused.
3. The child is thirsty.
4. The child's skin feels cold and clammy.

Rationale:
General symptoms of shock include behavioral changes such as restlessness, anxiety, confusion, depression, and apathy. Thirst is a common complaint in shock. The skin may feel cold and clammy in shock, not warm and dry. In shock, the client will not be hyperactive or hyperverbal.

Nursing

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The nurse needs to teach a patient about the side effects of a medication she is taking. By what means will the nurse know whether the patient has learned the information she needs to know about her medication?

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The nurse is caring for a patient with a bone tumor. The nurse provides education that teaches the patient to implement measures to reduce the risk for pathologic fractures. What intervention will assist the patient in fracture prevention?

A) Strive to achieve the maximum weight-bearing capabilities. B) Instruct the patient to strengthen the affected muscles through weight training. C) Support the affected extremity with external supports (splints). D) Limit the use of reliance of on assistive devices.

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Which instruction is most important for the RN to provide to the nursing assistant assigned to care for a client with primary osteoporosis?

a. "Clean up clutter in the room." b. "Encourage the client to bathe herself or himself." c. "Monitor urinary output." d. "Perform passive range-of-motion exer-cises."

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To find the infection site associated with acute lymphangitis, the examiner should look ________ to the inflammation

a. proximal b. distal c. contralateral d. anterior

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