Your 5-year-old female patient presents to the emergency department with sore throat, vomiting, ear ache, 103 degree fever, photophobia, and nuchal rigidity. She has an episode of projectile vomiting while you are examining her
The clinician should recognize that the following should be done:
A. Abdominal x-ray
B. Fundoscopic examination
C. Lumbar puncture
D. Analysis of vomitus
ANS: C
The range of neurologic disorders that result in nausea and/or vomiting is broad. Included are meningitis, increased intracranial pressure (ICP), migraines, a space-occupying lesion, and Ménière's disorder. Central nervous system-related vomiting is often projectile and may not be preceded by nausea. Papilledema may accompany increased ICP. Neurological deficits may be evident with increased ICP, space-occupying lesions, and meningitis. Nuchal rigidity is a classic finding for meningitis.
You might also like to view...
The nurse working in a pediatrician's office receives a call from a mother asking for advice about how to treat her child, who was found to have head lice. What advice will the nurse give this mother? Select all that apply
Standard Text: Select all that apply. 1. Wash the child's hair with Rid. 2. Comb with a fine-tipped comb dipped in alcohol. 3. Pick off any nits that remain on the hair shaft. 4. Wash all bedding in very hot water. 5. Isolate the child from others for one week.
A home health nurse is compiling a patient profile on a 23-year-old obese woman who smokes one-half pack of cigarettes a day and drinks 1 beer a week. She works as a cook in a long-term care facility
She has two children and eats a diet high in fats. She exercises 30 minutes a day. Both parents are dead of heart disease. How many risk factors for cancer in this profile should the nurse identify? a. 2 b. 3 c. 5 d. 6
Which health care specialist assisted your rehabilitation team by providing insight into its group dynamics and the processes through which the team was working?
1. psychologist 2. physical therapist 3. rehabilitation nurse 4. recreational therapist
Which nursing theorist(s) underscored the significance of spiritual values by emphasizing the importance of finding meaning in illness, thus suggesting that spirituality is essential to human health?
1. Travelbee 2. Paterson and Zderad 3. Roy 4. Watson