A nurse is collecting data from a child who has measles. Which of the following manifestations should the nurse expect?

Paroxysmal cough

Koplik spots

Facial erythema

Peeling of the hands and feet

Answer and Explanation

The Correct Answer is B

A. Paroxysmal cough. While a cough is a common symptom of measles, a paroxysmal (sudden, intense, and repetitive) cough is more characteristic of pertussis (whooping cough). Measles typically presents with a persistent, dry cough rather than severe coughing fits.
B. Koplik spots. These are small, white lesions with a red halo that appear on the buccal mucosa (inside of the cheeks) 1 to 2 days before the characteristic measles rash develops. Koplik spots are a hallmark sign of measles and help confirm the diagnosis before the onset of the widespread rash.
C. Facial erythema. While measles causes a maculopapular rash that spreads from the face downward, it does not typically present with isolated facial erythema. Facial redness is more commonly associated with conditions like fifth disease (erythema infectiosum), which is caused by parvovirus B19.
D. Peeling of the hands and feet. This symptom is more characteristic of Kawasaki disease or scarlet fever, not measles. Measles causes a diffuse maculopapular rash that darkens and may desquamate (shed) slightly, but significant peeling of the hands and feet is not a typical finding.

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Correct Answer is D

Explanation

A. "I can have a meal up to 2 hours before the procedure." Eating before an intravenous pyelogram (IVP) is not recommended, as fasting is typically required to prevent interference with imaging and reduce the risk of nausea from the contrast dye. Clients are usually instructed to refrain from eating for several hours before the procedure.
B. "I should limit my fluid intake for 2 days after the procedure." Increasing, rather than limiting, fluid intake is advised after the procedure to help flush the contrast dye from the kidneys and reduce the risk of nephrotoxicity. Adequate hydration is essential for kidney function following contrast administration.
C. "I do not need to sign a consent form before this procedure." An IVP involves the injection of contrast dye, which carries risks such as allergic reactions and kidney impairment. Because it is an invasive diagnostic procedure, informed consent is required before proceeding.
D. "I will feel a warming sensation after the injection of the dye." The contrast dye used in an IVP often causes a transient warm or flushed feeling, as well as a metallic taste in the mouth. This is a common and expected reaction, indicating that the client understands the procedure.

A. Increased urinary output B. Decreased BUN level C. Decreased hemoglobin level D. Increased weight of 0.91 kg (2 lb)

Correct Answer is A

Explanation

A. Increased urinary output. Furosemide is a loop diuretic that promotes diuresis by inhibiting sodium and water reabsorption in the kidneys. Increased urinary output indicates the medication is effectively reducing fluid volume, which is beneficial for clients with heart failure to decrease edema and pulmonary congestion.
B. Decreased BUN level. Blood urea nitrogen (BUN) levels can fluctuate due to hydration status and kidney function, but a decrease in BUN is not a primary indicator of furosemide’s effectiveness. Instead, BUN levels should be monitored for potential elevation, which could indicate dehydration or renal impairment as an adverse effect of the medication.
C. Decreased hemoglobin level. Furosemide does not directly affect hemoglobin levels. A decrease in hemoglobin may indicate anemia, which is not a desired or expected effect of diuretic therapy for heart failure.
D. Increased weight of 0.91 kg (2 lb). An increase in weight suggests fluid retention, which would indicate that heart failure is worsening rather than improving. Effective furosemide therapy should lead to weight reduction due to fluid loss, not weight gain.

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A nurse is collecting data from a child who has measles. Which of the following manifestations should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?

Correct Answer is A

Explanation

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