The nurse is providing care to a child who was treated with aspirin during a viral infection. Which clinical manifestations should cause the nurse concern?
1. Nausea, vomiting, and confusion
2. Headache, vomiting, and seizures
3. Sore throat, moist respirations, and cough
4. Fever, rash, and photophobia
1
Explanation:
1. These are the early symptoms of Reye syndrome.
2. These symptoms are associated with a malfunctioning shunt and not the early symptoms of Reye syndrome.
3. These symptoms are more likely to indicate pneumonia, not Reye syndrome.
4. These are not the early symptoms of Reye syndrome.
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The mother of a child with acute laryngotracheobronchitis (LTB) asks why her child must be kept NPO. The nurse explains that:
a. the epinephrine given causes nausea and vomiting. b. the child is being hydrated with IV fluids. c. swollen respiratory passages make eating difficult. d. the child's rapid respirations pose a risk for aspiration.
The nurse is assessing a client with a history of absence seizures. Which clinical manifestation does the nurse assess for?
a. Automatisms b. Intermittent rigidity c. Sudden loss of muscle tone d. Brief jerking of the extremities
A patient planning to begin a weight loss diet asks the nurse for suggestions as to how to balance her eating. What information should the nurse provide to the patient?
1. The diet should reduce calories to 1,000?1,600 per day, with less than 10% of the total calories coming from fat. 2. The diet should be between 750 and 1,000 calories per day, with less than 15% of the total calories coming from fat. 3. The diet should simply cut 500 calories per day from the normal intake. 4. The best diet will be between 1,250 and 1,500 calories per day, with 15% of the calories being sources of protein.
What is the primary purpose of standards of nursing practice?
A) to provide a method by which nurses perform skills safely B) to ensure knowledgeable, safe, comprehensive nursing care C) to establish nursing as a profession and a discipline D) to enable nurses to have a voice in healthcare policy