A 4-year-old child is admitted to the critical care unit with fever, chills, headache, vomiting, lethargy, photophobia, and nuchal rigidity. Nursing management for this patient would include
a. measuring and documenting head circumference.
b. allowing the patient's siblings to visit.
c. isolating the patient during initial antibiotic treatment and for 24 hours thereafter.
d. administering anticonvulsant medications every 6 hours.
C
Initial management includes use of isolation precautions, initiation of antibiotic therapy, maintenance of ventilation and hydration, reduction of increased intracranial pressure, management of systemic shock, control of seizures and temperature, and provision of family education and support.
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When planning care for adolescents, the nurse should
a. Teach parents first, and they, in turn, will teach the teenager. b. Provide information for their long-term health needs because teenagers respond best to long-range planning. c. Maintain the parents' role by providing explanations for treatment and procedures to the parents only. d. Give information privately to adolescents about how they can manage the specific problems that they identify.
The nurse wants to ensure that a client recovering from surgery does not develop thrombophlebitis. Which action should the nurse take to reduce the client's risk of this postoperative complication?
1. Administer an anticoagulant. 2. Assist the client to cough every 2 hours. 3. Monitor intake and output every 2 hours. 4. Provide for early ambulation.
An adaptive challenge occurs when the problem is quite clear, but the solution is not easy to ascertain
a. True b. False
An examination of a client indicates there is limited central vision. This would indicate a problem with the:
1. Macula. 2. Lens. 3. Sclera. 4. Extraocular muscles.