Which of the following actions would be the most important to include in the plan of care for a child with infectious mononucleosis?
A) Limiting fluid intake
B) Moving the child carefully
C) Administering a corticosteroid
D) Counseling the child to stop kissing
B
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New parents are concerned that after initially breastfeeding their baby 2 hours after being born, she is sleeping soundly and will not awaken. What action by the nurse is most appropriate?
A. Call the rapid response team. B. Document the neonate's behavior in the chart. C. Reassure the parents that this is normal. D. Stimulate the baby to wake her up.
The nurse is caring for a patient admitted to the ED following a fall from a 10-foot ladder. Upon admission, the nurse assesses the patient to be awake, alert, and moving all four extremities
The nurse also notes bruising behind the left ear and straw-colored drainage from the left nare. What is the most appropriate nursing action? a. Insert bilateral ear plugs. b. Monitor airway patency. c. Maintain neutral head position. d. Apply a small nasal drip pad.
What technique should the nurse use to obtain a throat culture from a client who is suspected to have a bacterial pharyngitis and tonsillitis?
A. Ask the client to expectorate mucus/sputum into a sterile specimen container upon first arising after a full night's sleep. B. Ask the client to gargle with a mouthful of sterile normal saline for 30 seconds, and then to expectorate the saline into a sterile container. C. Rub a sterile swab first over the right tonsillar area, moving across the right arch, the uvula, and the left arch to the left tonsillar area. D. Dampen a sterile swab with sterile normal saline and then gently rub the hard and soft palates, taking care to avoid areas with a white or cream-colored patch.
The client with asthma is prescribed to begin taking the drug zafirlukast (Accolate). Which precaution has the highest teaching priority?
A. "Be sure to drink at least 4 liters of fluid each day when taking this drug." B. "If you take aspirin, the dose of the drug must be adjusted." C. "Take the drug one hour before or two hours after meals." D. "Avoid sun exposure while taking this drug."