The nurse is caring for a neonate who is suspected of having sepsis. Which assessment findings would the nurse interpret as most indicative of sepsis?
A) Rash on face
B) Edematous neck
C) Hypothermia
D) Coughing
Ans: C
Hypothermia is a sign of sepsis in neonates. A rash on the face is a symptom of scarlet fever. An edematous neck is a sign of diphtheria. Paroxysmal coughing is a symptom of pertussis.
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The nurse working in the dermatology clinic assesses a young adult female patient who is taking isotretinoin (Accutane) to treat severe cystic acne. Which assessment finding is most indicative of a need for further questioning of the patient?
a. The patient recently had an intrauterine device removed. b. The patient already has some acne scarring on her forehead. c. The patient has also used topical antibiotics to treat the acne. d. The patient has a strong family history of rheumatoid arthritis.
An older adult client is being discharged with multiple new prescriptions. Which strategies could the home health nurse employ to encourage adherence?
1. Communicate the purpose the new medications serve toward treatment of the condition. 2. Ensure the medication is dispensed in containers that are easily opened. 3. Make sure all drugs are clearly labeled with instructions. 4. Place daily follow-up phone calls to high-risk older clients. 5. Simplify the regimen to twice-a-day dosing and reduce the number of medications the older client must take.
The nurse is talking to the parent of a 13-month-old child. The mother states, "My child does not make noises like ‘da' or ‘na' like my sister's baby, who is only 9 months old."
Which statement by the nurse would be most appropriate to make? a. "I am going to request a referral to a hearing specialist." b. "You should not compare your child to your sister's child." c. "I think your child is fine, but we will check again in 3 months." d. "You should ask other parents what noises their children made at this age."
The nurse is reinforcing teaching for an older patient on how to safely rise from a seated to a standing position
Upon which of the following aging changes does the nurse base the need for the older patient to change positions gradually for safety? a. Joint stiffness b. Leg muscle weakness c. Decreased circulatory efficiency d. Decreased neurological reflex times