Which assessments would cause the pediatric nurse to suspect the probability of an ear infection in a 6-month-old child? (Select all that apply.)

a. Hypersensitivity to noise
b. Irritability
c. Reddened ear canal
d. Rolls head from side to side
e. Temperature of 39.4 ° C (103 ° F)


ANS: B, D, E
Infants signal ear infections by being irritable, rolling their heads from side to side, spiking a temperature, and pulling at or rubbing their ears.

Nursing

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Which areas are affected only minimally by age?

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An aggressive patient was placed in four-point restraints and given an intramuscular dosage of anxiolytic medication. Nursing care of the restrained patient should include: (Select all that apply.)

a. assessment of vital signs and hydration. b. constant direct observation until release. c. provision of fluids and finger foods. d. opportunities for elimination at least hourly. e. regular reassessment of mental status. f. range-of-motion and comfort needs.

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Which of the following best defines the term acute porphyria?

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Which of the following mutations have the most significant effect on protein synthesis?

a. Base pair substitutions b. Silent mutations c. Intron mutations d. Frameshift mutations

Nursing