The nurse is conducting an assessment on a school-age child with urosepsis. Which assessment finding should the nurse expect?
a. Fever with a positive blood culture c. Oliguria and hypertension
b. Proteinuria and edema d. Anemia and thrombocytopenia
ANS: A
Symptoms of urosepsis include a febrile urinary tract infection coexisting with systemic signs of bacterial illness; blood culture reveals the presence of a urinary pathogen. Proteinuria and edema are symptoms of minimal change nephrotic syndrome. Oliguria and hypertension are symptoms of acute glomerulonephritis. Anemia and thrombocytopenia are symptoms of hemolytic uremic syndrome.
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Which factors interfere with the mental health of older adults because of the effect on adaptation? (Choose all that apply.)
a. Culture b. Life events c. Physical illness d. Substance abuse e. Cognitive impairment f. Developmental transitions
Prepare a dose of 7.5 mg from the available strength of 25 mg/5 mL
What will be an ideal response?
The nurse calls a physician to come to the unit to assess a patient. Which of the following is the most effective telephone communication by the nurse?
a. "This is the 4100 unit troublemaker again. You probably ought to come to the unit to see Mr. Samuels. His condition doesn't seem right.". b. "This is Ann Allen on 4100 . I don't quite know what to think about Mr. Samuels. I think his condition is deteriorating, and I'd like to have you see him.". c. "Sorry to bother you. This may not be important, but I'm not completely com-fortable with Mr. Samuel's response to care. His blood pressure has dropped, and his pulse is elevated.". d. "This is Sheila Ryan on 4100 calling re-garding your patient, Mr. Samuels. His BP has dropped from 130/90 at 8 am to 100/70 at 10 am. His pulse has risen from 80 to 100, and he seems restless. He re-ceived his 8 am Cardizem.".
A community health nurse visits a homeless shelter that has several clients with tuberculosis who are taking antimicrobial drugs. Supervised drug administration may be done on a daily basis with persons with poor adherence because:
a. This type of client does not care about his or her health. b. Homeless people have no access to medications. c. Poor adherence can result in drug resistance. d. The antimicrobials are so powerful, clients must be observed for reactions.