Over the last few weeks a school-age child with a pattern of
school success, solid peer relationships, and a healthy family life has been experiencing abdominal pain, vomiting, and diarrhea when it is time to go to school. At home, the symptoms disappear by midmorning and they do not appear over the weekends. Which question would be important for the nurse to first ask the caregiver?
A) "Have you explored with your child if something is causing her to be afraid to go to school?"
B) "Does your child have new dental caries or other signs of bulimia?"
C) "Could it be that your child is being abused by another family member or by her teacher?"
D) "Does your child eat a different breakfast on weekends than the one she eats on school days?"
Ans: A
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A patient who has malignant cancer secondary to a high-grade lymphoma has been admitted with muscle weakness, tetany, paresthesias, and convulsion
The nurse notices he is being treated for tumor lysis syndrome (TLS) and initial treatment has not been successful. The nurse must prepare the family for the next step in treatment, which is a. whole blood transfusion. b. a bone marrow biopsy. c. immediate radiation treatment. d. dialysis.
The nurse is preparing to administer methocarbamol (Robaxin) to a patient who is experiencing acute muscle spasms. The nurse notes that the patient's urine has turned black. What will the nurse do?
a. Administer the next dose of methocarbamol since this is a harmless side effect. b. Contact the provider to discuss changing to cyclobenzaprine (Flexeril). c. Obtain an order for a complete blood count to evaluate blood loss. d. Request an order for liver function tests since this indicates hepatotoxicity.
An IV is infusing at 8 gtt/min. The drop factor is 15 gtt/mL. In 24 hours, the client will have received _______________
a. 120 mL b. 490 mL c. 768 mL d. 1,200 mL
A nurse is performing an abdominal assessment on a client. On auscultation of the abdomen the nurse hears a bruit over the abdominal aorta. Which action should the nurse take as a priority on the basis of this finding?
A. Document the finding B. Palpate the area for a mass C. Notify the healthcare provider D. Percuss the abdomen to check for tympany