A 15-year-old adolescent is brought to the emergency department by his parents. The adolescent is febrile with chills that started suddenly. He states, "I had a sinus infection and sore throat a couple of days ago
" The nurse suspects bacterial meningitis based on which of the following? Select all answers that apply.
A) Complaints of stiff neck
B) Photophobia
C) Absent headache
D) Negative Brudzinski sign
E) Vomiting
A, B, E
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You detect a nonmobile fatty mass with a smooth circular edge when palpating deeply in a patient's scalp. This is most likely a
a. hematoma. c. metastatic carcinoma. b. lipoma. d. subcutaneous emphysema.
When you ask your patient about his vision, he says that the last time he had it tested, it was recorded as 20/50. This means that:
1. the patient can read at 20 feet what a person with normal vision can read at 50 feet. 2. the patient can read at 50 feet what a person with normal vision can read at 20 feet. 3. the patient needs to be 50 feet from objects to see them. 4. the patient's best vision is between 20 feet and 50 feet from objects.
The nurse is using the acronym SOAP to record information obtained from a client assessment. Which should the nurse recognize should be recorded in the "S" category?
A. Blood pressure of 177/93 mmHg. B. Client states they lost their insurance. C. Inability to afford prescriptions. D. Social service referral.
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
A) Person has a problem that doesn't "fit" with their usual problem-solving methods B) Trial-and-error attempts to alleviate the problem C) Automatic relief behaviors take over as the "fight-or-flight" hormones dissipate D) Person has serious personality disorganization