The nurse should observe a client with bacterial meningitis for
a. changes in sensorium.
b. high blood pressure.
c. hypothermia.
d. muscle spasms.
A
Other general manifestations related to infection are also present, such as fever, tachycardia, headache, prostration, chills, fever, nausea, and vomiting. The client may be irritable at first, but as the infection progresses, the sensorium often becomes clouded, and coma may develop.
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Several children arrived at the emergency department accompanied only by their fathers. The nurse knows that the father who legally may sign emergency medical consent for treatment is:
1. The non-biologic one from the heterosexual cohabitating family. 2. The divorced one from the binuclear family. 3. The divorced one when the single-parent mother has custody. 4. The stepfather from the blended or reconstituted family.
A child has been admitted for suspected bacterial endocarditis. What action takes priority?
A. Administering antibiotics B. Education on valve replacement C. Giving an antipyretic D. Obtaining blood cultures
A client experiences postprandial rapid gastric dumping after a gastrectomy. Which of these approaches should the nurse include in the client's teaching plan?
a. Avoid complex carbohydrates. b. Eat small meals frequently. c. Reduce fiber and protein intake. d. Drink carbonated beverages with meals.
The nurse has just completed an interview and physical examination of a newly admitted client. What sources of information should this nurse use in formulating expected outcomes for the client?
A. Identified nursing diagnoses and collaborative problems B. The goals for the client as set by family members C. The medical history and laboratory test results D. Client goals as set by the nursing staff