A client has mastoiditis. The nurse assesses most carefully for which manifestations? (Select all that apply.)

a. Red and bulging eardrum
b. A crackling sound upon yawning
c. Enlarged lymph nodes behind the ear
d. Low-grade fever and malaise
e. Diminished hearing
f. Loss of appetite


C, D, E, F
Common signs and symptoms of mastoiditis include enlarged lymph nodes behind the ear, low-grade fever, malaise, loss of hearing, and loss of appetite. When the eardrum is red and bulging and a crackling sound is heard upon yawning, the client is usually diagnosed with otitis media.

Nursing

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Patients need to be questioned about all pain sites because:

1. Patients tend to report the most severe or important in their perception. 2. Pain tolerance generally decreases with repeated exposure. 3. The reported pain site is usually the most important to treat. 4. Pain may be referred from a different site to the one reported.

Nursing

A woman at 35 weeks' gestation calls the physician's office to report she has lower back pain, cramping abdominal pain, and a feeling of pressure in her vagina and pelvis. The nurse suspects:

a. Braxton-Hicks contractions b. Preterm labor c. Spontaneous abortion d. Normal sensations at 35 weeks

Nursing

A patient is brought to the emergency department with a drug overdose causing respiratory depression. Which drug will the nurse expect to administer?

a. Albuterol (Proventil) b. Caffeine (Cafcit) c. Doxapram (Dopram) d. Methylphenidate (Ritalin)

Nursing

A nurse working in the emergency department is told that the smallpox virus was aerosolized at a parade attended by thousands of people. The nurse explains to the student nurse that the vaccine for this virus provides a high level of protection if given within ________ days of exposure.

Fill in the blank(s) with the appropriate word(s).

Nursing