What intervention(s) would the nurse caring for a child with infectious meningitis include? (Select all that apply.)
a. Isolation precautions
b. Provision of brightly lit room
c. Observation for increasing intracranial pressure
d. Preparation for spinal tap
e. Seizure precautions
ANS: A, C, D, E
All elements of nursing care listed in the options, except a brightly lit room, would be part of comprehensive care of a child with meningitis.
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After her child receives a vaccination, the mother calls the clinic to report the child's reaction to the immunization. The nurse will recommend the mother call 911 when the mother reports:
1. A few hives are noted around the injection site. 2. The child is running a slight temperature. 3. The child has swelling of the face. 4. Fever and joint pains occurring within hours of the vaccination.
What landmarks are used for the administration of an intramuscular injection into the gluteal site?
a. The tip of the coccyx and the greater trochanter b. Between the center of the gluteus and the iliac spine c. Between the posterior iliac crest and the greater trochanter d. On an imaginary line between the center of the gluteus and the greater trochanter
The nurse is caring for a client with Crohn's disease who has developed a fistula. Which nursing intervention is the highest priority?
a. Monitor the client's hematocrit and he-moglobin. b. Position the client to allow gravity drai-nage of the fistula. c. Check and record blood glucose levels every 6 hours. d. Encourage the client to consume a diet high in protein and calories.
Long-term hormone replacement therapy (HRT) is being discussed with a patient who is scheduled for a total hysterectomy. For which health problem will this patient be at risk for developing? Select all that apply.
A. Heart attack B. Breast cancer C. Stroke D. Venous thrombosis E. Colon cancer