The nurse is caring for an 18-month-old child with rotavirus. What clinical manifestations should the nurse expect to observe?

a. Severe abdominal cramping and bloody diarrhea
b. Mild fever and vomiting followed by onset of watery stools
c. Colicky abdominal pain and vomiting
d. High fever, diarrhea, and lethargy


ANS: B
Rotavirus is one of the most common pathogens that cause gastroenteritis in children younger than the age of 2 years. Clinical manifestations include mild to moderate fever and vomiting followed by the onset of watery stools. The fever and vomiting usually abate in 1 or 2 days, but the diarrhea persists for 5 to 7 days. Severe abdominal cramping and bloody diarrhea are seen with Escherichia coli infection; colicky abdominal pain and vomiting are seen with salmonella infection; and high fever, diarrhea, and lethargy are seen with infection by Salmonella typhi.

Nursing

You might also like to view...

A child is prescribed warfarin (Coumadin). Which laboratory values does the nurse monitor? (Select all that apply.)

A. Electrolytes B. Hematocrit (Hct) C. International normalized ratio (INR) D. Partial thromboplastin time (PTT) E. Prothrombin time (PT)

Nursing

The nursing instructor is discussing the difference between ambulatory surgical centers and hospital-based surgical units

A student asks why some patients have surgery in the hospital and others are sent to ambulatory surgery centers. What is the instructor's best response? A) "Patients who go to ambulatory surgery centers are more independent than patients admitted to the hospital." B) "Patients admitted to the hospital for surgery usually have multiple health needs." C) "In most cases, only emergency and trauma patients are admitted to the hospital." D) "Patients who have surgery in the hospital are those who need to have anesthesia administered."

Nursing

A study was conducted to evaluate staff nurses' perceptions of a good nurse manager. The researcher identified the nurses involved and shared individual responses with the managers. This best describes a violation of which principle?

1. Anonymity. 2. Coercion. 3. Confidentiality. 4. Informed consent.

Nursing

You are developing a plan of care for a patient with Guillain-Barré syndrome. What nursing intervention would you know that would receive priority for this patient?

A) Using the incentive spirometer as prescribed B) Maintaining the patient on bed rest C) Assisting the patient with activities of daily living D) Determining abnormalities of cognitive function

Nursing