A parent asks the school nurse why she should not give her children aspirin for a fever
When the nurse replies that it has to do with the possible risk of a child getting Reye's syndrome while taking aspirin, the parents asks: "What is Reye's syndrome?" Which of the following responses by the nurse would most accurately describe Reye's syndrome? a. fatal or near-fatal condition involving the circulatory system and the nervous system
b. an unusual allergy-like reaction to aspirin while in a mild immunosuppressed condition following an illness
c. a neurological reaction to aspirin that can cause paralysis to the alveoli and bring respiratory distress
d. a life-threatening condition following a mild viral illness, in which there is liver enlargement and cerebral edema
D
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A Incorrect. Reye's syndrome is not a fatal or near-fatal condition involving the circulatory system and the nervous system.
B Incorrect. Reye's syndrome is not an unusual allergy-like reaction to aspirin while in a mild immunosuppressed condition following an illness.
C Incorrect. Reye's syndrome is not a neurological reaction to aspirin that can cause paralysis to the alveoli and bring respiratory distress.
D Correct. Reye's syndrome is a life-threatening encephalopathy following a mild viral illness, in which there is liver enlargement and cerebral edema. The liver becomes enlarged and assumes a yellow hue caused by fatty deposits in its microvasculature. At the same time cerebral edema with accompanying increased intracranial pressure becomes evident.
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Which patient statement would the nurse evaluate as reflecting the current trend in use of the emergency department? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "I had to wait for 3 hours to be seen for my head cold.". 2. "My dad had to stay in the ED overnight until a bed was available in the intensive care unit.". 3. "I wanted to go to an ED across town, but they aren't accepting any ambulance patients right now.". 4. "The lady in the office told me I should go somewhere else for care, but I am just too sick.". 5. "The waiting room is packed with people who are sneezing and coughing.".
A patient is receiving care for a soft tissue sports injury. Which explanation by the nurse explains part of the treatment using the acronym PRICE?
a. "I'll be alternating ice and heat to the in-jured area.". b. "You'll be exercising with ice packs for a while.". c. "Rest is indicated before and after cold treatments.". d. "The cold therapy decreases venous con-gestion.".
When the nursing assistant arrives at a patient's room he finds the patient on the floor. The nursing assistant should
A) leave the patient's room to seek help. B) help the patient up. C) leave the patient on the floor. D) assess the patient for injuries.
The nurse is reviewing laboratory results for a patient with a blood disorder. Reduced fibrinogen and platelet levels, increased thrombin time, and reduced factor assays are laboratory results associated with which hematological disorders?
a. Aplastic anemia b. Sickle cell anemia c. PV d. Disseminated intravascular coagulation