Which condition is characterized by a history of bloody diarrhea, fever, abdominal pain, and low hemoglobin and platelet counts?
a. Acute viral gastroenteritis
b. Acute glomerulonephritis
c. Hemolytic-uremic syndrome
d. Acute nephrotic syndrome
C
Hemolytic-uremic syndrome is an acute disorder characterized by anemia, thrombocytopenia, and acute renal failure. Most affected children have a history of gastrointestinal symptoms, including bloody diarrhea. Anemia and thrombocytopenia are not associated with acute gastroenteritis. The symptoms described are not suggestive of acute glomerulonephritis or nephrotic syndrome.
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Induction of labor is planned for a 31-year-old primip at 39 weeks due to insulin-dependent diabetes. What nursing action is most important?
1. Administer 100 mcg of misoprostol (Cytotec) vaginally every two hours. 2. Place dinoprostone (Prepidil) vaginal gel and ambulate client for one hour. 3. Begin Pitocin (oxytocin) four hours after 50 mcg misoprostol (Cytotec). 4. Prepare to induce labor after administering a tap water enema.
Which statement by a patient with borderline personality disorder best indicates the treatment plan is helping?
a. "I think you are the best nurse on the unit.". b. "I hate my doctor. He never gives me what I ask for.". c. "I feel empty and want to cut myself, so I called you.". d. "I'm never going to get high on drugs again.".
A client has been admitted with third-degree AV block. What feature of third-degree heart block would the nurse expect to see on this client's ECG tracing?
A. Prolonged PR interval > 0.20 seconds B. Decreased PR interval < 0.20 seconds C. Consistent PR interval D. Inconsistent PR interval
An older adult has begun dating after being widowed for many years. The adult confides to the nurse about having several sexual partners. What action by the nurse is best?
a. Warn the patient that the family may not appreciate the situation. b. Teach the patient about safer sexual prac-tices including condoms. c. Ask the patient if there are any medical concerns related to sex. d. Tell the patient he or she may begin to have feelings of guilt.