The nurse admits a child with a diagnosis of acute rheumatic fever to the acute care pediatric unit. When collecting admission data, the nurse questions the child for a recent history of which of the following?
1. Mild-to-severe sore throat
2. Shortness of breath
3. Normal temperature
4. Edematous painful joints
1
Rationale: Rheumatic fever often results from untreated strep throat, so the nurse would question about a recent sore throat and low-grade fever.
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When focusing on developing new theories in nursing, what is most important for nurses to know?
1. Recognize that most theories cannot be modified. 2. Research helps with behavioral observation in multicultural groups. 3. Most people with mental disorders never seek professional treatment. 4. Acknowledge vulnerability of the mental health community.
A pregnant woman asks the nurse, "I'm a big coffee drinker. Will the caffeine in my coffee hurt my baby?" Which response by the nurse would be most appropriate?
A) "The caffeine in coffee has been linked to birth defects.". B) "Caffeine has been shown to cause growth restriction in the fetus.". C) "Caffeine is a stimulant and needs to be avoided completely.". D) "If you keep your intake to less than 300 mg/day, you should be okay.".
A client in her first trimester of pregnancy presents with the complaint of persistent nausea throughout the day. The nurse suggests which intervention to best deal with this problem?
1. Eat large meals frequently throughout the day. 2. Consume noncarbonated beverages. 3. Increase foods with a high fat content. 4. Eat dry toast and crackers before getting out of bed.
It is important to assess the lochia after childbirth as the presence of an abnormal colour or odour may indicate: a. inflammation of the uterus. b. that products of conception have been retained inthe uterus
c. a miscarriage. d. that the woman has developed disseminated intravascular coagulopathy.