The home health nurse arrives at a home and finds a 9-year-old client who is sitting upright in the tripod position and has marked stridor. The nurse should:
a. Examine the back of the throat using a tongue depressor
b. Assist the child to lie down, and administer a dose of triamcinolone acetonide (Aristocort)
c. Take the child to the bathroom, and turn on the hot water to create steam
d. Arrange for transportation to the hospital
D
This child should get to the hospital as these are signs of epiglottitis, a life-threatening emergency. The throat examination might cause laryngospasm and respiratory arrest. Steam and inhalants are of little use.
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a. critical events c. incident reports b. exception charting d. variances
The nurse is preparing a list of patients who will need the annual influenza inoculation. Which older adult will most likely refuse this vaccination?
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a. 0.9% normal saline c. nasoenteric feeding b. oral rehydration fluid d. hypotonic IV fluid
A nurse considered copying last month's surveillance report and changing the date because the number of occurrences per month had not noticeably changed
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