The nurse is reviewing the medical record of a child with infective endocarditis. What would the nurse expect to find? Select all that apply
A) White blood cell count revealing leukopenia
B) Microscopic hematuria with urinalysis
C) Electrocardiogram with prolonged PR interval
D) Lungs clear on auscultation
E) Petechiae on palpebral conjunctiva
Ans: B, C, E
With infective endocarditis, leukocytosis, microscopic hematuria, prolonged PR interval, adventitious lung sounds, and petechiae on the palpebral conjunctiva are noted.
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A staff nurse tells another nurse, "I just used the SAD PERSONS scale to evaluate a man who sometimes thinks about suicide; his score was 8 . I'm wondering if I should send him home after arranging for follow-up."
The best reply by the second nurse would be: a. "That would seem appropriate, but I'd consult the on-call resident first.". b. "Be sure he is followed up closely; he may require hospitalization later on.". c. "I think you should consider hospitalization just to be safe.". d. "A score of 7 or higher usually requires immediate hospitalization.".
The client has inflammation of the conjunctiva resulting from invasion by bacterial, viral, or rickettsial organisms, and is causing pain and redness. The nurse explains that this problem is:
a. uveitis c. keratitis b. conjunctivitis d. iriditis
The nurse observes flaring of nares in a newborn. What should this be interpreted as?
a. Nasal occlusion b. Sign of respiratory distress c. Snuffles of congenital syphilis d. Appropriate newborn breathing
The patient is complaining of tenderness at his intravenous (IV) insertion site. The nurse examines the site and notices that the site is swollen, warm, and reddened
The nurse stops the intravenous infusion, realizing that the patient has ________________. Fill in the blanks with correct word