The nurse working in a pediatrician's office admits a 5-year-old child for a well-child exam, and is obtaining a history from the mother while noting the child repeatedly scratching her head. The nurse will:
1. Examine the child's head for parasites.
2. Document a possible nervous disorder in the child.
3. Ask the mother if she has noted the behavior before.
4. Apply personal protective equipment.
1
Rationale: The nurse should assess the client's head for the presence of lice before implementing any action. The mother's observations do not contribute any pertinent information unless the child's head is clear of parasites.
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A client is prescribed an anticholinergic drug. What discharge instructions should the nurse provide?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. Wear sunglasses in bright light. B. Limit fluid intake. C. Increase fiber intake. D. Avoid hot showers. E. Avoid milk and dairy products.
The nurse is talking with a patient who voices concerns about the incidence of schizophrenia in her family. The patient states that she is worried the condition will be inherited by her teenage daughter
What response by the nurse is most appropriate? a. "Unfortunately, schizophrenia does run in families." b. "Although some familial factors exist, there is no exact known cause for schi-zophrenia." c. "Your daughter would show some evi-dence of the condition by this point in her life, so there is no real reason to worry." d. "As long as your home environment is warm and loving, she will be fine."
A 36-year-old afebrile woman with no health problems presents with dysuria and frequency of urination. Her urinalysis findings include results positive for nitrites and leukocyte esterase. You evaluate these results and consider that she likely has:
A. purulent vulvovaginitis B. a gram-negative UTI C. cystitis caused by Staphylococcus saprophyticus D. urethral syndrome
When planning community health care for a chronically mentally ill client, which factor is most significant?
1. Care should be provided in the least restrictive environment possible. 2. Clients with similar disturbances should be housed together. 3. Clients must understand instructions in accessing the crisis line. 4. Family members should supervise the client's activity when possible.