What should you do?
Dakota is a 14-year-old boy who just noticed a rash at his ankles. There is no history of exposure to ill people or other agents in the environment. He has a slight fever in the office. The rash consists of small, bright red marks. When they are pressed, the red color remains.
A) Prescribe a steroid cream to decrease inflammation.
B) Consider admitting the patient to the hospital.
C) Reassure the parents and the patient that this should resolve within a week.
D) Tell him not to scratch them, and follow up in 3 days.
B) Consider admitting the patient to the hospital.
Although this may not be an impressive rash, the fact that they do not “blanch” with pressure is very concerning. This generally means that there is pinpoint bleeding under the skin, and while this can be benign, it can be associated with life-threatening illnesses like meningococcemia and low platelet counts (thrombocytopenia) associated with serious blood disorders like leukemia. You should always report this feature of a rash immediately to a supervisor or teacher.
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When working with school districts, which of the following would the community health nurse encourage as the most effective school-based approach to prevent teenage suicide?
A) Suicide prevention programs with direct interventions B) Teachers assessing suicide risk among students C) Promotion of stronger parental control of teens D) Punitive treatment of teens by the school administration
In planning care for a client receiving heparin, the nurse is aware that the dose is administered subcutaneously. What is the reason for using this route?
a. Heparin is absorbed readily by the gastrointestinal mucosa and protected by the liver. b. Heparin is poorly absorbed by the gastrointestinal mucosa and destroyed by liver enzymes. c. The effective absorption of heparin can be hampered by food. d. The effective absorption of heparin is hampered by the stomach's inadequate blood flow.
The patient and his wife receive the same medication for hypertension. The patient's wife asks the nurse why she is receiving a higher amount of the medication. What is the best response by the nurse?
1. "Females have a higher metabolism, so you need more medication." 2. "Everyone is unique and responds differently to medications." 3. "Your hormones are different from your husband's, so you need more medication." 4. "You have a greater percentage of body fat, so more medication is needed."
The nurse is caring for a patient with herpes simplex. Which statement related to disease transmission should the nurse include in the patient's discharge teaching?
a. "Herpes simplex is an airborne disease." b. "HEPA filtration is necessary with herpes simplex." c. "Herpes simplex is transmitted through direct transmission." d. "Vehicle transmission means that particles float through the air."