The home health nurse suspects that a 3-month-old infant has acute otitis media (AOM) when the child:
a. Shows a subnormal temperature of 98° F
b. Lies with the knees drawn up to the abdomen
c. Rolls the head from side to side and cries
d. Stops crying when nursing
C
A child who cries piercingly and rolls the head from side to side may have signs of AOM. Temperatures are high, and sucking increases the pain.
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The nurse is teaching a class on infection control. Which nursing measure is most appropriate in breaking a link in the chain of infection?
A) Place contaminated linens in a paper bag. B) Use personal protective equipment (PPE). C) Cover one's cough by placing the mouth in the hand. D) Wear sterile gloves for client care.
The nurse has withdrawn medication from a vial for injection. Which of the following should the nurse do next?
a. Wash the hands. b. Follow the organization's policy regarding recapping and changing the needle prior to injecting. c. Label the syringe with drug, dose, date, and time. d. Prepare the client's other medications.
Marijuana is a hallucinogenic that can be used for positive effects in the treatment of:
1. diet control in the morbidly obese. 2. chemotherapy-induced nausea and vomiting. 3. air hunger in end-stage emphysema patients 4. early diabetic-induced cataracts.
An older adult patient who takes trihexyphenidyl (Artane) for drug-induced parkinsonism begins taking diphenhydramine (Benadryl) for cold symptoms. The nurse should carefully monitor this patient for
a. polyuria. b. tachycardia. c. constipation. d. hypothermia.