Signs and symptoms of infection include which of the following?
a. Increased energy and appetite
b. Fever
c. Cool sensation of a body part
d. Decreased pulse and respiratory rates
B
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The school nurse is seeing a child who collected some poison ivy leaves during recess. He says only his hands touched it. What is the most appropriate nursing action?
a. Soak his hands in warm water. b. Apply Burow's solution compresses. c. Rinse his hands in cold running water. d. Scrub his hands thoroughly with antibacterial soap.
The student nurse overhears several staff members referring to a client who is receiving chemotherapy as having "chemo brain." The student asks the instructor what that means. Which response by the instructor is best?
a. "That is an awful thing to say and the staff should not call a client by that name." b. "It refers to the client's brain as being ir-reversibly damaged by the chemotherapy." c. "The client has reduced cognitive function that may last for several years." d. "The client has delirium related to the toxic effects of the chemotherapy."
Which of the following nursing diagnoses would be the priority when caring for a child in renal failure following a kidney transplant?
A) Deficient fluid volume related to fluid intake restrictions postoperatively B) Risk for infection related to immunocompromised state C) Constipation related to effects of administered drugs D) Pain related to tissue rejection
Important techniques in performing the rectal examination include which of the following?
A) Lubrication B) Waiting for the sphincter to relax C) Explaining what the patient should expect with each step before it occurs D) All of the above