An adolescent is seen in the health care clinic with complaints of chronic fatigue. On physical examination, the nurse notes that the adolescent has swollen lymph nodes
Laboratory test results indicate the presence of Epstein-Barr virus (mononucleosis). The nurse informs the mother of the test results and provides instruction regarding care of the adolescent. Which of the following statements, if made by the mother, indicates an understanding of care measures? 1. "I need to keep my child on bed rest for 3 weeks."
2. "I will call the physician if my child is still feeling tired in 1 week."
3. "I need to isolate my child so that the respiratory infection is not spread to oth-ers."
4. "I need to call the physician if my child complains of abdominal pain or left shoulder pain."
4
Rationale: The mother needs to be instructed to notify the physician if abdominal pain, especially in the left upper quadrant, or left shoulder pain occurs, because this may indicate splenic rupture. Children with enlarged spleens are also instructed to avoid contact sports until splenomegaly resolves. Bed rest is not necessary, and children usually self-limit their activity. No isolation precautions are required, although transmission can occur via saliva, close intimate contact, or contact with infected blood. The child may still feel tired in 1 week as a result of the virus.
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What kind of insulin would the diabetic nurse educator seek an order for? A) Lispro (Humalog) B) Glulisine (Apidra) C) Ultralente (Humulin U Ultralente) D) Aspart (NovoLog)
The nurse is caring for a patient with chronic pancreatitis and a serum amylase level of 180 units/L. Which dietary plan should the nurse instruct the patient to follow?
1. low residue, no alcohol 2. low fat, no alcohol 3. low fat, no fiber 4. mechanical soft
The nurse notes that a child's gums bleed easily and bruising and petechiae are evident on the extremities. Which laboratory value would be consistent with these symptoms?
a. Platelet count of 19,000/mm3 b. Prothrombin time of 11 to 15 seconds c. Hematocrit of 34 d. Leukocyte count of 14,000/mm3
The nurse is discussing vision changes that normally occur with aging with a group of older adults. Which of the following conditions should be included in the discussion? (Select all that apply.)
1. Poor night vision 2. Increased optical floaters 3. Reduced peripheral vision 4. Reduced depth perception 5. Increased sensitivity to glare 6. Diminished color perception