During data collection, a patient is experiencing warmth, redness, swelling, and minimal drainage of the right great toe. Which health problem should the nurse recognize is occurring with the patient?
a. Local infection
b. Systemic infection
c. Generalized infection
d. Bacterial colonization
ANS: A
Manifestations of a local infection also include pain, redness, swelling, and warmth at the site. B. D. As the infection progresses, there can be an increase in fever, elevated white blood cell count, decreased blood pressure, mental confusion, tachycardia, and shock. C. Symptoms of generalized infection may include headache, malaise, muscle aches, fever, and anorexia.
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A woman mentions that her 6-month-old son has demonstrated some odd behavior. She thinks it might be related to autism. She asks what age would be best to have screening done on the child. The nurse should respond:
A) Now, as an infant B) When the child begins to walk C) When the child is preschool-aged D) When the child starts school
The parents of a hospitalized 2-year-old need to leave the unit for a couple of hours to get some sleep. The nurse should:
a. Tell the parents that one of them should remain with the child b. Instruct the parents to leave while the baby is distracted c. Tell the toddler that the parents are leaving, but will be back after lunch d. Leave the toddler alone to cry himself to sleep
It is recommended that individuals within certain populations restrict their sodium intake to 1500 mg/d. A nurse identifies that these groups include all of the following except
1. African Americans. 2. Individuals with hypertension. 3. Individuals younger than 15 years. 4. Individuals who are 40 years or older.
A patient who was administered prazosin (Minipress) became unconscious 30 minutes after the first dose. What medications should the nurse prepare for resuscitation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Normal saline 2. Dobutamine 3. Atenolol (Tenormin) 4. Carvedilol (Coreg) 5. Propranolol (Inderal)