A nurse is conducting the initial assessment of a child with rheumatic fever. Which question does the nurse ask the parents to elicit information specific to the development of the disease?
A. "Has he had any loss of appetite?"
B. "Has he complained of a backache recently?"
C. "Has he been excessively tired or lethargic?"
D. "Has he had a sore throat in the last few months?"
Ans: D. "Has he had a sore throat in the last few months?"
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A patient visiting the clinic is diagnosed with acute sinusitis. To promote sinus drainage, the nurse should instruct the patient to perform which of the following?
A) Apply a cold pack to the affected area. B) Apply a mustard poultice to the forehead. C) Perform postural drainage. D) Increase fluid intake.
Which nursing diagnosis would explain the purpose of using a self-sheathing stylet catheter?
1. Risk for Fluid Volume Deficit 2. Risk for Injury 3. Risk for Altered Nutrition 4. Risk for Infection
Cost is an important consideration for many clients using antacid therapy, because most clients will be on long-term therapy
Indicate whether the statement is true or false.
The nurse hears the parents of a 26-week-gestation newborn tell family members, "We'll be ready to bring the baby home in a few weeks.". The most therapeutic response by the nurse is which of the following?
1. "I'm glad he's doing so well.". 2. "He probably won't be ready to come home for a few months.". 3. "A therapist could help you resolve your feelings of denial.". 4. "Do you have the nursery ready yet?"