You are discussing safety issues with an adolescent client. The response you get is, "I know people have accidents from driving fast, but I have no fear." This is an example of which hallmark of adolescent cognitive development?
1. feelings of superiority
2. egocentrism
3. formal operations
4. conservation
ANS: 2
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A parent calls the clinic nurse to report that his child, who takes methimazole (MTZ), is running a high fever, seems agitated, and is nauseated. Which response by the nurse is the most appropriate?
A. "Bring your child to the clinic this afternoon for a checkup." B. "Double the methimazole dose for 2 days or until the fever is gone." C. "Give your child acetaminophen (Tylenol) every 4 hours for the fever." D. "Take your child to the nearest emergency department right away."
The client drinks at least 12 colas every day. Today, he is unable to obtain his cola and is becoming more irritated and physically uncomfortable with each hour. The client is experi-encing signs of
1. relapse. 2. addiction. 3. crankiness. 4. intoxication.
As part of a written standard protocol for the unit, the nurse adds that irrigation of an occluded cannula is not recommended. The rationale against performing this procedure is that it may:
1. damage a venous valve. 2. introduce an air embolus into the line. 3. cause the patient pain. 4. force blood clots into the main bloodstream.
A 6-year-old boy is admitted to the hospital with a severe case of chickenpox with persistent fever. The nurse monitors the child for which of the following complications?
1. Pneumonia 2. Kidney failure 3. Seizure activity 4. Rheumatic fever