A primary care NP sees a child who has honey-crusted lesions with areas of erythema around the nose and mouth. The child's parent has been applying Polysporin ointment for 5 days and reports no improvement in the rash. The NP should prescribe:
a. mupirocin.
b. neomycin.
c. a systemic antibiotic.
d. Polysporin with a corticosteroid.
A
Treatment with a topical antiinfective agent should be reevaluated in 3 to 5 days if there is no improvement. Polysporin ointment is bacteriostatic, not bacteriocidal. Mupirocin is indicated for impetigo caused by Staphylococcus aureus, which is most common in children. Neomycin is an aminoglycoside and is not effective against S. aureus. A systemic antibiotic is not indicated unless the mupirocin fails to treat the infection. Adding a corticosteroid would increase the likelihood that the infection will worsen.
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While caring for a client with increased intracranial pressure (IICP), a family member asks to assist. Which interventions are appropriate for the nurse to teach the family member regarding this client's care?
Select all that apply. A) The head of the bed should be elevated to 30 degrees. B) The client should remain in a supine position. C) The family should use slow, gentle movements when repositioning the client. D) The client should be repositioned as needed. E) Patients with ICP should remain in a stationary position.
The mother of a preschool child dies suddenly of a ruptured cerebral aneurysm. What recommendation should the nurse make to the family regarding how to most therapeutically care for the child?
a. Take the child to the funeral even if he is frightened. b. Notify the physician immediately if the child shows signs of regression. c. Spend as much time as possible with the child. d. Provide distraction whenever the child begins to express feelings of sadness.
Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?
A) Grade II B) Grade III C) Grade IV D) Grade V
Which statement regarding chronic pain is true?
A. Physiologic adaptation occurs so that manifestations of tachycardia and elevated blood pressure are not present. B. The person with chronic pain experiences local nerve adaptation so that the inten-sity of chronic pain diminishes over time. C. Chronic pain allows for better psychosocial adaptation over time, and the client has a reduction in the perception of pain. D. Morphine and morphine agonists are not effective for chronic pain because the cells involved in neuromodulation are no longer responsive.