When conducting a physical examination, the nurse notes that the patient has a systemic rash. Which sexually transmitted infection may be the cause for this clinical manifestation?
1) Herpes simplex virus
2) Gonorrhea
3) Secondary syphilis
4) Chlamydia
ANS: 3
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Routine handwashing between clients is the most important health care professionals can help prevent the spread of nosocomial infections
Indicate whether the statement is true or false.
A prison nurse is conducting a routine physical assessment when the client states, "It doesn't matter if I am sick, no one cares anyway"
The nurse learns that the prisoner has had no visitors for over a year and has made no friends while in prison. The nurse would identify which nursing diagnosis at this time? a. Risk for Self-Injury b. Hopelessness c. Social Isolation d. Powerlessness
Which clinical manifestation does the nurse anticipate for a pediatric client who is admitted with congestive heart failure (CHF)?
1. Tachycardia 2. Weight loss 3. Hypertension 4. Bradycardia
A 7 year old with a history of tonic-clonic seizures has been actively seizing for 10 minutes. The child weighs 22 kg and currently has an intravenous (IV) line of D5 1/2 NS + 20 meq KCL/L running at 60 ml/hr. Vital signs are a temperature of 38 degrees C, heart rate of 120, respiratory rate of 28, and oxygen saturation of 92%. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the primary healthcare provider with a recommendation for:
a) Rectal diazepam (Diastat). b) IV lorazepam (Ativan). c) Rectal acetaminophen (Tylenol). d) IV fosphenytoin.