A 4-year-old child was taken to the after-hours pediatric clinic with a fever and a rash. She had been seen by her pediatrician earlier in the day for a sore throat and had been given a prescription for an antibiotic
Later that evening she developed a fever and a rash on her abdomen. The nurse who assesses the child in the clinic suspected the symptoms are associated with which of the following? A. Common symptoms of strep throat
B. An allergic response to the prescribed medication
C. An undiagnosed illness
D. A food allergy
B
Sometimes a fever results from a hypersensitivity response to a medication, especially when the medication is taken for the first time. These fevers are often accompanied by other allergy symptoms such as rash or itching. Treatment involves stopping the medication.
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The nurse is reviewing a client's history and physical information. The medical record notes a protrusion into the posterior vaginal wall. Based on this data, which condition does the nurse suspect?
1. Ovarian cyst. 2. Bartholin gland infection. 3. Cystocele. 4. Rectocele.
A client with urinary calculi is admitted to the hospital. When planning care for this client, which goal is most appropriate?
A) The client will lose 25 pounds in 3 months. B) The client will ambulate three times a day. C) The client will request pain medication at the onset of pain. D) The client will shower independently.
A new mother is changing the diaper of her 20-hour-old newborn and asks why the stool is almost black. Which response by the nurse would be most appropriate?
A) "You probably took iron during your pregnancy." B) "This is meconium stool, normal for a newborn." C) "I'll take a sample and check it for possible bleeding." D) "This is unusual and I need to report this."
Which one of the following client assessment findings indicates a lifestyle risk factor to the nurse?
1. Obesity 2. Sunbathing 3. Overcrowded housing 4. Industrial-based occupation