The parents of a child recovering from Kawasaki disease apologize for the child's irritability. The nurse's response is based on the knowledge that irritable behavior is:
a. An end result of overindulgence while in the hospital
b. A side effect of the antiplatelet therapy
c. One of the classic signs of Kawasaki disease
d. A reaction to limited activity
C
Irritable behavior is a hallmark of Kawasaki disease. A quiet environment may help diminish outbursts.
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During the resuscitation of a patient with severe multiple trauma, an order for placement of an indwelling urinary catheter is given
The nurse would question that order in the presence of which assessment findings? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Distention of the abdomen 2. Blood at the urethral meatus 3. Bruising across the perineum 4. BUN 40 mg/dL 5. Hyphema
You may discuss confidential patient information with
A. your supervisor. B. the patient's spouse. C. the patient's family. D. your own family.
Assessment of a client reveals that he is unresponsive to all stimuli and his eyes remain closed. The nurse documents the client's level of consciousness as which of the following?
A) Obtunded B) Stupor C) Coma D) Lethargy
To best address the assault victim's psychosocial needs, the forensic nurse:
a. Warns the family that the patient will likely be suicidal b. Suggests that the family provide continuous supervision of the patient for at least 30 days c. Encourages the patient to discuss medication therapy with the physician prior to discharge from the ED d. Provides education to both the patient and the family regarding the signs of post-traumatic stress disorder (PTSD)