A nurse is caring for a client in an emergency department.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress

Answer and Explanation

The Correct Answer is []

Based on the provided nurses' notes, the client exhibits symptoms that may suggest a brief psychotic disorder, characterized by delusions, hallucinations, disorganized speech, or grossly disorganized or catatonic behavior. The client's history of similar episodes and family history could support this diagnosis. To assess the client's progress, the nurse should monitor the client's ability to care for themselves and assess any suicide risk due to the client's recent stressors and emotional state. Actions that could be beneficial include reducing external stimuli to prevent sensory overload and engaging with the client several times each day to establish trust, which can help alleviate anxiety and foster a therapeutic environment.

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Correct Answer is A

Explanation

A: Varicella (chickenpox) is contagious until all lesions have crusted over. The crusting of the lesions indicates that the virus is no longer active and transmissible.
B: Although a decrease in fever suggests improvement, it does not signify that the child is no longer contagious. Children with varicella are still contagious until all blisters have crusted over.
C: Antibiotics are not effective against viral infections like varicella. Therefore, this statement is inaccurate as it implies antibiotics are part of the treatment for varicella.
D: Varicella is diagnosed clinically and through symptoms rather than titer results. Titer testing is not a standard criterion for determining when a child can return to school.

A. Carefully suction the child's oropharynx to remove secretions. B. Offer a high-calorie, high-protein diet. C. Administer pancreatic enzymes with meals. D. Initiate droplet precautions.

Correct Answer is D

Explanation

A. Suctioning or any throat examination should be avoided unless absolutely necessary and then only in a controlled environment such as an operating room because it can provoke airway obstruction.
B. While nutrition is important, the priority in acute epiglottitis is maintaining the airway, not dietary content.
C. This intervention is not related to epiglottitis but to conditions affecting pancreatic function.
D. Epiglottitis is a severe, potentially life-threatening infection, and droplet precautions should be initiated to prevent the spread of infection.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a parent of a child who has varicella. Which of the following statements should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?

Correct Answer is D

Explanation

A nurse is teaching a parent of a school-age child who is to begin a daily dose of methylphenidate. Which of the following should the nurse include in the teaching?

A nurse is caring for a child who reports migraine headaches for the past 4 months. Which of the following actions should the nurse take first?

A nurse in an outpatient clinic is caring for a client. Exhibits Which of the following statements should the nurse include in the client's teaching? Select all that apply.

A nurse is teaching the parents of a child who has a new onset of seizures and is to undergo an electroencephalogram (EEG) about the procedure. Which of the following instructions should the nurse include in teaching?

A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?

A nurse is caring for a client who is at 33 weeks of gestation following an amniocentesis. The nurse should monitor the client for which of the following complications?

A nurse is caring for a client who has heart failure. Which of the following manifestations should the nurse expect?

A nurse is planning care for a client who is returning to the unit following open gastric bypass surgery. Which of the following interventions should the nurse include in the client's plan of care?