An infant is brought to the emergency department by parents who report that the baby’s fontanels seem to be bulging outward. What action by the healthcare provider is most appropriate?
a. Assess the baby for recent trauma to the head.
b. Measure the head circumference and plot it on a growth chart.
c. Prepare the baby for a lumbar puncture and blood cultures.
d. Determine how much fluid the baby had in the last 24 hours
Answer: b. Measure the head circumference and plot it on a growth chart.
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Administration of syrup of ipecac would be contraindicated in which of the following conditions?
A) Ingestion of a caustic agent B) Depressed mental status C) Seizures D) All of the above are correct.
A pregnant client reports the desire to eat non-food items. For which health problem should the nurse prepare teaching for this client?
a. Pica b. Geophagia c. Pagophagia d. Amylophagia
The nurse is assessing a client admitted to the postanesthesia care unit (PACU) after abdominal surgery. The client's respiratory rate is 8 breaths/min and breath sounds are decreased in the bases. What is the nurse's priority action?
a. Prepare to administer naloxone (Narcan). b. Assess oxygen saturation and level of consciousness. c. Call a code or the Rapid Response Team. d. Turn the client and perform chest physio-therapy.
Marci has been started on a tuberculosis (TB) regimen. Because isoniazid (INH) may cause peripheral neuropathy, you consider ordering which of the following drugs prophylactically?
a. Pyridoxine c. Probiotic b. Thiamine d. Phytonadione