Following an outbreak of chicken pox in the school, the school nurse is concerned that children are at risk for Reye syndrome
The nurse sends home letters reminding the parents not to administer aspirin and describes the initial symptoms of Reye syndrome which are: 1. Nausea, vomiting, and confusion.
2. Headache, vomiting, and seizures.
3. Sore throat, moist respirations, and cough.
4. Fever, rash, and photophobia.
1
Rationale 1: These are the early symptoms of Reye syndrome.
Rationale 2: These symptoms are associated with a malfunctioning shunt and not the early symptoms of Reye syndrome.
Rationale 3: These symptoms are more likely to indicate pneumonia, not Reye syndrome.
Rationale 4: These are not the early symptoms of Reye syndrome.
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A nursing student has been assigned to present a teaching project to the class, using each of Bloom's taxonomy domains. The student has planned several activities to include when presenting the project to the class
Which activities are within the affective domain? Select all that apply. A) Class members must read a paragraph about a new clinical trial, summarize the information, and present it to the rest of the class. B) Class members must list the technical skills they have learned. C) Class members must demonstrate a favorite nursing skill for the class. D) Class members must reflect on how they felt the first time they provided direct client care. E) Class members must identify two attitudinal changes that have occurred in their lives since beginning their nursing education.
A nurse should expect which of the following consequences in a client with severe burn injury and elevated hematocrit levels and blood cell counts?
A) Slow heart rate B) Kidney stones and blood clots C) Imbalance in electrolytes D) Elevated central venous pressure (CVP)
A client is admitted to the intensive care unit (ICU) with a diagnosis of cerebrovascular accident (CVA). Which assessment by the nurse provides the most significant finding in differentiating between ischemic and hemorrhagic strokes?
A) A unit of fresh frozen plasma is infusing. B) Neurological checks are ordered every 2 hours. C) Keppra is ordered for treatment of focal seizures. D) Oropharyngeal suctioning as needed.
With regard to the care management of preterm labor, nurses should be aware that:
a. Because all women must be considered at risk for preterm labor and prediction is so hit-and-miss, teaching pregnant women the symptoms probably causes more harm through false alarms. b. Braxton Hicks contractions often signal the onset of preterm labor. c. Because preterm labor is likely to be the start of an extended labor, a woman with symptoms can wait several hours before contacting the primary caregiver. d. The diagnosis of preterm labor is based on gestational age, uterine activity, and progressive cervical change.