A febrile preschool-aged child presents to the after-hours clinic. Varicella (chickenpox) is diagnosed on the basis of the illness history and the presence of small, circumscribed skin lesions filled with serous fluid
Which type of skin lesion will the nurse report?
a. Vesicles
b. Wheals
c. Papules
d. Pustules
ANS: A
Vesicles are circumscribed, elevated skin lesions filled with serous fluid that measure less than 1 cm. Wheals are irregularly shaped, elevated areas of superficial localized edema that vary in size. They are common with mosquito bites and hives. Papules are palpable, circumscribed, solid elevations in the skin that are smaller than 1 cm. Pustules are elevations of skin similar to vesicles, but they are filled with pus and vary in size like acne.
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A) The patient's emotional response to the disease process B) The timing of the last dose of medication relative to when blood was drawn C) The possibility of a drug–laboratory test interaction D) A change in the body's responses or actions related to the drug
The nurse is caring for a patient who sustained burns of 40% of the total body surface area. What would the nurse plan to meet this patient's nutritional needs?
1. Supply with balanced nutrients to meet current body weight needs. 2. Complete a nutritional assessment and supply with high-calorie, high-protein supplements. 3. Provide high-dose therapy of vitamins C and B. 4. Supply with high-fat and high-carbohydrate supplements.
The nurse suspects that a child is demonstrating signs of attention deficit hyperactivity disorder (ADHD). What behavior did the nurse most likely assess in this child?
A) Unrealistic fears B) A lack of concentration C) Persistent disobedience D) A lack of affection for others
With the help of a federal grant, the local school nurse has established a spreadsheet that contains relevant nursing data so that she can analyze children's health. School health programs are:
a. Increasingly seen as primary care sites for children. b. Providing only health education programs for children and their parents. c. Capable only of providing referrals for health problems to primary care providers. d. Funded exclusively by local authorities.