Which assessment finding in a child with meningitis should be reported immediately?
a. Irregular respirations
b. Tachycardia
c. Slight drop in blood pressure
d. Elevated temperature
ANS: A
Irregular respirations in conjunction with slowing heart rate and increasing blood pressure are reported immediately because they could indicate increased intracranial pressure.
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While participating in a disaster response exercise, a nurse has been reminded by the coordinators that triage in a mass casualty incident (MCI) event differs from triage in nondisaster circumstances
What principle will care providers use to guide the allocation of scarce health care resources in an MCI? A) Ensure that every victim receives an equitable amount of care. B) Do the greatest amount of good for the largest number of victims. C) Prioritize the care of the most critically ill victims. D) Focus efforts on victims with the highest risk of death.
An adolescent client follows a vegan eating plan. Which food should the nurse remove from the recommended food list for this client?
a. Eggs b. Tofu c. Rice milk d. Peanut butter
A client is being taught how to safely irrigate ears to remove cerumen. What is the correct order of self-ear irrigation? (Separate letters by a comma and space as follows: a, b, c, d.)
a. Fill the syringe with lukewarm water. b. Hold the head at a 30-degree angle. c. Insert the tip of the syringe carefully into the ear canal and aim toward the canal roof. d. Tilt the head at a 90-degree angle to remove excess fluid. e. Use one hand to hold the syringe and the other to push the plunger. f. Repeat the procedure on the opposite ear. g. Continue the procedure until at least a cup of fluid has flowed into and out of the ear. h. The ear should fill with fluid and the water will flow out with cerumen.
Jane Simpson claims to have food cravings for dirt and cigarette ashes during her pregnancy. The correct term for these cravings is:
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