While inspecting a five-year-old child's ears with an otoscope, the nurse notes that the right membrane is red and there is an absence of light reflex. In view of these findings, which vital sign parameter would most concern the nurse?
1. Heart rate
2. Temperature
3. Blood pressure
4. Respirations
2
Rationale 1: Although there could be changes in heart rate, respiratory rate, and blood pressure, these are not indicators specific to the presence of infection.
Rationale 2: The red finding indicates that there is probably infection in the middle ear while the absence of life reflex indicates a bulging tympanic member, which is also associated with infection.
Rationale 3: Although there could be changes in heart rate, respiratory rate, and blood pressure, these are not indicators specific to the presence of infection.
Rationale 4: Although there could be changes in heart rate, respiratory rate, and blood pressure, these are not indicators specific to the presence of infection.
Global Rationale:
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Your neighbor is fearful for her 13-year-old son. She thinks he may have some type of eating disorder. She asks you the difference between anorexia and bulimia from a mental health perspective. You explain that in bulimia:
A) Her son may think he is grossly overweight and is trying to lose weight B) He may see a very large person in the mirror rather than his actual size C) He is trying to punish his mother D) He knows he has a problem but feels powerless to control it.
Which of the following individuals or groups influence how institutional goals are determined by the organization?
a. Staff nurses b. Patient care coordinators c. Vice president for nursing d. Board of directors
A group of nursing students are reviewing information about childhood infectious diseases. The students demonstrate understanding of this information when they identify which disease as a common childhood exanthema?
A) Mumps B) Rabies C) Rubella D) West Nile virus
It is unnecessary to use standard precautions when admitting a patient with a heart condition
Indicate whether the statement is true or false