The nurse is caring for a neonate with suspected meningitis. Which clinical manifestations should the nurse prepare to assess if meningitis is confirmed (Select all that apply)?
a. Headache
b. Photophobia
c. Bulging anterior fontanel
d. Weak cry
e. Poor muscle tone
ANS: C, D, E
Assessment findings in a neonate with meningitis include bulging anterior fontanel, weak cry, and poor muscle tone. Headache and photophobia are signs seen in an older child.
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The patient has bipolar disorder and is in a manic phase. The physician prescribes lithium (Eskalith). The client's current lithium level is 0.4. Which assessment findings should the nurse anticipate?
A. A return to baseline behavior B. Hyperactivity and pressured speech C. Signs and symptoms of depression D. A decrease in manic behavior
Select the correct number of drops per minute to be administered for a 500-ml Lactated Ringers IV given over 2 hours using an administration set labeled 15 drops per ml.
A. 32.5 drops/min B. 62.5 drops/min C. 75 drops/min D. 40 drops/min
When designing a combination regimen for the treatment of cancer all of the following "rules " apply EXCEPT:
A. Select drugs that have activity against tumor when used alone B. Select drugs that have different mechanisms of action C. Select drugs that have similar host toxicity D. Select drugs that have potential synergistic interactions
The newly licensed nurse is preparing to administer a high dose of androgen to the female client. The nurse manager asks for the rationale. What is the best response by the new nurse?
1. "My client wants to improve athletic performance." 2. "My client has breast cancer." 3. "My client has brain cancer." 4. "My client is planning on sexual reassignment surgery."