A 15-month-old child from Pennsylvania was brought to the ER with symptomology that in-cludes fever, seizure activity, cranial palsies, and paralysis. Which form of encephalitis is best supported by the available assessment data?
a. Eastern equine encephalitis
b. Venezuelan encephalitis
c. St. Louis encephalitis
d. West Nile encephalitis
ANS: A
The symptoms indicate encephalitis, and given the residence of the child and the symptoms, the diagnosis is Eastern equine encephalitis. Venezuelan occurs in Texas, Florida, and the South. St. Louis occurs in Canada and the Pacific coast. West Nile occurs throughout the United States but primarily affects the elderly.
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Which of the following nursing actions is recommended when helping a blind client who is depressed?
A) Cheer up the client. B) Acknowledge the client's grief. C) Agree with the client that it is impossible to deal with the adversity. D) Ignore the client's grief and adopt a strict attitude.
A client had minor surgery and is ambulating frequently. The client is perspiring profusely and is now complaining of a headache and muscle weakness, and is apprehensive, lethargic, and confused
These findings are most consistent with which electrolyte disturbance? 1. Hypokalemia 3. Hyponatremia 2. Hyperkalemia 4. Hypernatremia
The client's surgery has been delayed because of hyperkalemia. The client doesn't understand why. What is the nurse's best response?
A. "Potassium affects how the heart works and you could have a heart attack if this is not corrected." B. "Your kidneys could quit working during surgery and the surgery would have to be cancelled." C. "We want you to have the best recovery after surgery. Sometimes, if this problem is not corrected before surgery, you may be too sleepy after surgery to talk to your family." D. "By making sure your potassium is normal before surgery, it will keep your heart functioning at its best during your surgery."
Which statement about balance provides a basis for a nurse's management of the therapeutic environment?
a. Independence is best gained in increments. b. Independence is a fundamental right of all patients. c. Independence jeopardizes safety in an inpatient setting. d. Dependence is a characteristic of most persons with mental illness.