The nurse is assessing a child brought to the urgent care clinic by her mother who removed a tick from the child's back and is concerned about Lyme disease. If the child has Lyme disease, which manifestations is the nurse most likely to observe?
A) Swelling, redness, itching
B) A red bump with a red bull's-eye rash
C) Red dots on the ankles and wrists
D) A rash with itching that is more intense at night
B) A red bump with a red bull's-eye rash
Explanation: A) Most common reactions to bee and wasp stings are mild and include swelling, redness, itching, and mild pain.
B) A red bump with a ringed red rash that resembles a bull's-eye is typical of Lyme disease.
C) Red dots on the ankles and wrists are typical in Rocky Mountain spotted fever.
D) The most common symptom of scabies is a rash and itching that is more intense at night, interrupting sleep.
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A hospitalized client with a mood disorder is assessed to be high risk for suicide. The nurse should intervene by:
1. Encouraging repetitive discussions of suicidal ruminations. 2. Removing dangerous objects from the client's room. 3. Evaluating suicide intention every three days. 4. Using a strict regular schedule for client observation.
If a nurse applies Nightingale's theory to current practice, the nurse's first step will be to evaluate the hospital room's air quality and, second, to:
a. make certain that the volume of the television is not too loud. b. consult the dietitian to check that essential nutrients are added to meet requirements noted on MyPyramid. c. ask the client's family to bring family photographs and bright-colored throws for the bed. d. arrange for the client to go outside, weather permitting, while keeping the room's window blinds open.
The nurse has just received change-of-shift report about the following four patients. Which patient should be assessed first?
a. A patient with a cervical radium implant in place who is crying in her room b. A patient who is complaining of 5/10 pain after an abdominal hysterectomy c. A patient with a possible ectopic pregnancy who is complaining of shoulder pain d. A patient in the fifteenth week of gestation who has uterine cramping and spotting
A person with a disability needs to adjust physically, psychologically, socially, and economically
Indicate whether the statement is true or false.