The nurse is preparing to admit an adolescent with bacterial meningitis. What clinical manifestations should the nurse expect to observe? (Select all that apply.)

a. Fever
b. Chills
c. Headache
d. Poor tone
e. Drowsiness


ANS: A, B, C, E
Clinical manifestations of bacterial meningitis in an adolescent include, fever, chills, headache, and drowsiness. Hyperactivity is present, not poor tone.

Nursing

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When asked by the family of an 86-year-old terminally ill patient about treatment options, a nurse states, "Treatment options are more difficult with the elderly, as the choices are dependent on the patient's dependence on others,

the terminal illness itself, and ____________________." Fill in the blank with correct word.

Nursing

The nurse determines that the daughter of a widowed older adult patient has a poor understand-ing of the grieving process when she reports that

a. "Mom is going to be okay; she is a strong, independent woman." b. "It's been 16 months since Dad died, but Mom still hasn't moved on with her life." c. "My mother has agreed to come and live with me for at least a little while." d. "My mom cries when she looks at pictures of Dad, but I think she needs to cry."

Nursing

National Standard 3 is paramount to safety in the perioperative setting as activities associated with it are at the core of surgical practice. Which statement below best describes activities associated with Standard 3?

a. This Standard is about medication safety, and relates to how nurses handle and administer medications to patients, as well as how controlled drugs such as opioids, narcotics and sedatives are securely managed to prevent misuse. b. This Standard focuses on correct patient identification processes and ensuring accurate procedure matching to reduce wrong site surgery. c. This Standard describes how clinicians respond to a deteriorating patient in a structured, consistent and timely manner to reduce adverse events. d. This Standard covers the concepts of aseptic technique, standard and transmission-based precautions, antimicrobial stewardship, environmental cleaning, and the reprocessing and sterilisation of surgical instruments.

Nursing

A patient hemorrhaging from an incision has a blood pressure of 70/0 mm Hg. What type of fluid replacement should the nurse anticipate will be ordered initially?

a. 0.9 % normal saline b. Fresh frozen plasma c. Packed red blood cells d. Lactated Ringer's with 50 mL albumin

Nursing