A 16 month old child diagnosed with Kawasaki Disease (KD) is very irritable,refuses to eat, and exhibits peeling skin on the hands and feet. Which of the following would the nurse interpret as the priority?
a) applying lotions to the hands and feet
b) offering foods the toddler likes
c) placing the toddler in a quiet environment
d) encouraging the parents to get some rest
Ans: c) placing the toddler in a quiet environment
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A client tells the nurse that his pain was not relieved even when he took more of a prescribed medication. The nurse realizes that the client most likely was taking which of the following medications?
a. NSAIDs c. Codeine b. Morphine d. Hydromorphone (Dilaudid)
Which dietary teaching do you include for a patient who is prescribed warfarin (Coumadin) on discharge?
a. "Weight loss diets such as the Atkins diet are OK while taking this drug." b. "Be sure to eat lots of green leafy vegetables for extra vitamin K." c. "Dietary changes do not affect the action of this drug." d. "Drinking alcoholic beverages can change the action of warfarin."
Mania in the very young child is often misdiagnosed by clinicians as which of the following?
a. precocious sexual development b. a delayed gratification problem c. ADHD d. antisocial personality disorder
A first-time mother at 18 weeks of gestation comes for her regularly scheduled prenatal visit. The client tells the nurse that she is afraid that she is going into premature labor because she is beginning to have regular contractions
The nurse explains that this is the Braxton Hicks sign and teaches the client that this type of contraction: a. Is painless. c. Causes cervical dilation. b. Increases with walking. d. Impedes oxygen flow to the fetus.