The nurse caring for a child with suspected meningitis assesses a cardinal indicator of meningococcal infection, which is:
a. A high-pitched cry
b. Petechiae over the trunk
c. Nuchal rigidity
d. Barking cough
B
The petechiae over the trunk is an indicator of meningococcal infection.
You might also like to view...
Anxiety and fear may require that the nurse
A) repeat instructions more than once. B) speak in a louder voice than normal. C) give handwritten instructions, rather than oral. D) All of the above are correct.
Which outcome or overall purpose would be consistent with a qualitative study?
a. Development of creative solutions to practical problems b. Prediction and control of a human phenomenon c. Description of behavior within a context-free theoretical framework d. Use of statistical analyses to determine significant differences between variables
An older adult is taking diazepam several times a day. What does the nurse specifically monitor for?
a. Tachycardia b. A hangover effect c. Agitation d. Hypertension
When completing an assessment on an elderly client the nurse addresses the issue about alcohol consumption. Which statement by the nurse would illicit the most accurate information from the client?
1. "Have other people ever told you that you are drinking too much?" 2. "Have you ever thought you were drinking too much?" 3. "In the past three months how often have you had a drink containing alcohol?" 4. "Many elderly clients tend to abuse alcohol; do you think this is a problem for you?"