A nurse is caring for a young child who is suspected of having meningitis. A spinal tap culture is pending. If it comes back positive for N. meningitidis, the nurse will need to
A. Discharge him from the hospital; it is appropriate for his family to care for him at home.
B. Inform the child's daycare and other caregivers so they can monitor for symptoms of the infection.
C. Promptly admit the child to the ICU.
D. Double the dose of antibiotics.
ANS: B
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While trying to inform a five-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
1. "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room." 2. "Please stop talking about your puppy. I need to tell you about your CT scan." 3. "I'll come back when you are ready to talk with me more about your CT scan." 4. Ignore the child's responses and continue discussing the procedure.
When performing the Functional Independence Measure (FIM), the nurse is aware the purpose of this tool is to:
a. assess the physical and psychosocial abilities in relation to the amount of assistance needed to complete activities of daily living (ADLs) b. assess the cognitive and psychosocial abilities in relation to the amount of assistance needed to complete ADLs c. assess the cognitive and motor function in relation to the amount of assistance needed to complete ADLs d. assess the motor function and physical abilities in relation to the amount of assistance needed to complete ADLs
An 88-year-old client will be discharged from the hospital on a variety of medications. How can the nurse best ensure that the client is capable of taking the medication safely at home?
A. Have the client actively participate in drug administration during hospitalization. B. Include the client's children in discussions regarding proper medication adminis-tration. C. Give the client a pamphlet outlining the actions, side effects, and doses of all prescribed drugs. D. Make a chart for the client, showing exactly which drugs are to be taken at dif-ferent times during the day.
An older adult female patient had a stroke. What symptoms are not usually expressed by patients who have had a vertebrobasilar stroke?
A. Vertigo B. Ataxia C. Dysarthria D. Monocular blindness