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 B

Explanation

A. Oxytocin. This medication is typically administered intravenously or intramuscularly to promote uterine contractions and control postpartum hemorrhage. It is not given via the sublingual or rectal route.
B. Misoprostol. This prostaglandin analog is effective in managing postpartum hemorrhage by stimulating uterine contractions. It can be administered via several routes, including oral, sublingual, and rectal, making it a versatile option in hemorrhage control. The rectal route is often preferred in emergencies due to rapid absorption and minimal gastrointestinal side effects.
C. Carboprost. This medication is a prostaglandin used to treat postpartum hemorrhage but is administered intramuscularly rather than sublingually or rectally. It is typically reserved for cases that do not respond to first-line treatments due to its potential for significant gastrointestinal and cardiovascular side effects.
D. Methylergonovine. This ergot alkaloid is effective in reducing postpartum hemorrhage by inducing strong uterine contractions. However, it is administered intramuscularly or orally and is contraindicated in clients with hypertension due to its vasoconstrictive properties.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

Administer sublingual nitroglycerin. Nitroglycerin is a first-line treatment for angina or suspected myocardial infarction. It dilates coronary arteries, improving blood flow and reducing myocardial oxygen demand.
Apply supplemental oxygen. Routine oxygen administration is no longer recommended unless the client is hypoxic (oxygen saturation below 90%) because excessive oxygen can lead to vasoconstriction and worsen myocardial injury.
Obtain a 12-lead ECG. While an ECG is important for diagnosing myocardial infarction, the priority in an acute chest pain episode is symptom relief and hemodynamic stability. The ECG should already have been obtained at admission.
Administer morphine sulfate IV. Morphine is used to manage severe chest pain that is not relieved by nitroglycerin. It reduces myocardial oxygen demand, preload, and anxiety, which can help relieve symptoms.
Monitor vital signs. Continuous monitoring is essential, but it is not the most immediate intervention in an acute episode of worsening chest pain. The focus should be on relieving ischemia and reducing myocardial workload.
Educate the client about smoking cessation. While smoking cessation is critical for long-term cardiovascular health, education is not a priority when the client is experiencing acute chest pain requiring immediate intervention.

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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 assisting with the care of a client who is experiencing postpartum hemorrhage. Which of the following medications could the nurse administer to the client via the sublingual or rectal route?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first dropdownand thendropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"D"}

Explanation

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