One day after giving birth vaginally, a client develops painful vesicular lesions on her perineum and vulva. She is diagnosed with a primary herpes simplex 2 infection. What is the expected care for her neonate?
1. Meticulous hand washing and antibiotic eye ointment administration.
2. Intravenous acyclovir (Zovirax) and contact precautions.
3. Cultures of blood and CSF and serial chest x-rays every 12 hours.
4. Parental rooming-in and four intramuscular injections of penicillin.
2
Explanation: 2. Administering intravenous acyclovir (Zovirax) and contact precautions are appropriate measures for an infant at risk for developing herpes simplex 2 infection.
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A child has been recently diagnosed with mild IDD. What information about this diagnosis should the nurse include when teaching the child's mother?
1. Children with mild IDD need constant supervision. 2. Children with mild IDD develop academic skills up to a sixth-grade level. 3. Children with mild IDD appear different from their peers. 4. Children with mild IDD have significant sensory-motor impairment.
When assessing the quality of a client's pedal pulses, what is the nurse assessing? Select all that apply
a. Rhythm of the pulses b. Strength of the pulses c. Bilateral equality of pulses d. Rate compared with apical pulse
The nurse is performing an assessment on a patient whose right atrial pressure is 12 mmHg. Which findings would the nurse anticipate?
1. Jugular vein distention 2. Weak, thready pulse 3. Presence of rales and rhonchi 4. Poor skin turgor 5. Hepatomegaly
A school-age client diagnosed with nephrotic syndrome is severely edematous. The primary healthcare provider has placed the child on bed rest. Which nursing intervention is a priority for this client?
1. Reposition the child every two hours. 2. Monitor BP every 30 minutes. 3. Encourage fluids. 4. Limit visitors.