A college student comes into the local health clinic and states she has a sore throat she can't get rid of. She has been to the campus clinic twice for treatment and has been given antibiotics with no results
She complains of fatigue and headaches, along with her sore throat. Upon examination of her throat, she exhibits whitish to greenish-gray exudates. Her spleen is also slightly enlarged.
a. What diagnostic tests should be run?
b. What do you think she has?
c. What treatment would be ordered?
d. What type of teaching would you include?
Students' answers should include the following:
a. Monospot and Epstein-Barr virus antibody titer as diagnostic testing for infectious mononucleosis
b. Epstein-Barr virus causes infectious mononucleosis; it affects young adults, especially those in close living quarters, such as college dorms.
c. Bed rest, fluids, and corticosteroids for inflammation
Soft, bland foods; cool liquids; gargle with warm salt water; don't share drinks, toothbrushes, etc.
d. Spreads by direct contact with saliva with infected person, sneezing, cigarettes, foods, etc.
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The mother of a 2-year-old child becomes very anxious when the child has a temper tantrum in the medical office. The appropriate nursing response to the mother would be to say:
1. "What do you usually do or say during a temper tantrum?" 2. "Let's ignore this behavior. It will stop sooner." 3. "Pick up and cuddle your child now, please." 4. "This is definitely a temper tantrum. I know exactly what you are feeling right now."
The Denver II is a tool that is used for assessment of early childhood development. What is this tool used to assess?
a. Temperament b. Maturation c. Gross and fine motor skills d. Speech development
Which of these steps is correct when a nurse is instilling two medications into a client's enteral tube?
a. Clamp the tube, attach the syringe, add both medications, release the clamp, and flush with 30 cc water. b. Attach the syringe, pour 30 cc of one medication, open the clamp, rinse with 5 cc water, pour remaining medication into the tube, and flush with 30 to 50 cc water. c. Attach the syringe, pour both medications into the tube, open the clamp, and flush with 30 to 50 cc water. d. Aspirate gastric contents, attach the syringe, pour each medication sequentially into the tube, and flush with 100 cc water
A 90-year-old nursing home patient is admitted to the critical care unit with a severe case of pneumonia. No living will or designation of healthcare surrogate is noted on the chart
In the event this patient needs intubation and/or cardiopulmonary resuscitation, what should be the nurse's action? a. Activate the code team, but initiate a "slow" code. b. Call the nursing home to determine the patient's or family's wishes. c. Code the patient for 5 minutes and then cease efforts. d. Initiate intubation and/or cardiopulmonary resuscitation efforts.