Which assessment finding is considered normal for a school-age client?
1. Tonsils are large and seem to fill the throat.
2. Child is complaining of sore throat and drooling
3. White patches are observed on the tonsils.
4. Throat appears red, and child has a low-grade fever
1
Explanation:
1. This is a normal finding as the tonsillar material grows faster than the child and reaches adult size in this age group. It is not a reason to refer the child for follow-up.
2. Both symptoms indicate pharyngitis and should be evaluated by a healthcare provider.
3. White exudate is associated with tonsillitis and requires further evaluation.
4. These symptoms suggest pharyngitis; the child should be evaluated further.
You might also like to view...
The nurse is conducting an assessment on a client who is 36 hours postoperative following an appendectomy. During the assessment, the nurse is unable to hear any bowel sounds. The client denies passing flatus. Which action is most appropriate by the nurse
A) Withholding food and fluid intake until intestinal motility has returned B) Encouraging the client to increase fluid intake to promote peristalsis C) Encouraging the client to increase solid food intake to promote peristalsis D) Encouraging the client to decrease the amount of oral intake
Which lesions are typically located along the distribution of dermatome?
A. Scabies B. Herpes zoster C. Tinea D. Dishydrosis
An advanced practice psychiatric nurse is working with a client who is diagnosed with obsessive-compulsive personality disorder and asthma
The client has recently moved from his elderly parents' home to an assisted-living group home that allows pets. The nurse selects the concept map method of organizing the case information and constructing a comprehensive care plan for this client because it: a. clearly shows the linear progression of the client's developmental milestones b. neatly compartmentalizes and differentiates the psychosocial from the physical issues c. vividly shows the reciprocal interconnectedness of both psychosocial and physical issues d. succinctly determines which issues are and are not appropriate for the care plan to address
Using an ophthalmoscope, how does the nurse bring a patient's interior eye structures into focus?
a. Using the red filter b. Adjusting the diopters c. Dilating the patient's pupils d. Using the wide-beam light