All of the following clients have a body temperature of 38°C (100.4°F). About which client would a nurse be most concerned?

A) An older adult
B) A pregnant adolescent
C) A junior high football player
D) An infant 2 months of age


Ans: D
A mild elevation in body temperature, as is given here, might indicate a serious infection in infants younger than 3 months of age, who do not have well-developed temperature control mechanisms.

Nursing

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The nurse is caring for a client with sickle cell anemia. The nurse teaches the client that the inherited alteration of which type of hemoglobin causes the abnormal shape to the red blood cell?

A) Hgb A B) Hgb S C) Hgb B D) Hgb E

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The nurse gives a patient in the emergency department (ED) who has nausea and vomiting prochlorperazine (Compazine) IM, as ordered by the physician. The patient is discharged 2 hours after the administration of this medication

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Patient and parent education for the child who has a synthetic cast should include which information?

a. Apply a heating pad to the cast if the child has swelling in the affected extremity. b. Wrap the outer surface of the cast with an Ace bandage. c. Split the cast if the child complains of numbness or pain. d. Cover the cast with plastic and waterproof tape to keep it dry while bathing or showering.

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A 5-year-old is admitted to the hospital with complaints of leg pain and fever. On physical examination, the child is pale and has bruising over various areas of the body. The health-care provider suspects that the child has ALL. The nurse informs the parent that the diagnosis will be confirmed by which of the following?

1. Lumbar puncture. 2. White blood cell count. 3. Bone marrow aspirate. 4. Bone scan.

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