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

Peeling of the hands and feet

Fever

Beefy, red tongue

Facial erythema

Answer and Explanation

The Correct Answer is B

The correct answer is choice B. Fever.

Choice A rationale:

Peeling of the hands and feet is not a typical manifestation of pertussis. This symptom is more commonly associated with conditions like Kawasaki disease.

Choice B rationale:

Fever is a common symptom in the early stages of pertussis, along with a mild cough and runny nose.

Choice C rationale:

A beefy, red tongue is not associated with pertussis. This symptom is more characteristic of scarlet fever.

Choice D rationale:

Facial erythema is not a typical symptom of pertussis. Pertussis primarily affects the respiratory system, causing severe coughing fits.

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Correct Answer is A

Explanation

A. Correct. This response acknowledges the client's feelings and demonstrates empathy. It opens the door for further discussion and exploration of the client's beliefs without immediately challenging them.
B. Incorrect. Directly contradicting the client's beliefs may cause resistance and increase their distress. It's important to approach the situation with sensitivity and understanding.
C. Incorrect. While asking for clarification is a valid approach, it may not be the most appropriate initial response. It's important to establish trust and rapport with the client before delving into their delusional beliefs.
D. Incorrect. Asking "why" s may put the client on the defensive and may not lead to a productive conversation about their beliefs. It's better to approach the situation with empathy and openness before exploring the client's perspective.

A. Exit the home as quickly as possible. B. Open the dampers of fireplaces. C. Cover heat registers with plastic and tape. D. Turn on ceiling fans and air conditioners.

Correct Answer is C

Explanation

A. Incorrect. In the event of an outdoor chemical disaster, individuals should stay indoors and take shelter rather than exiting the home.
B. Incorrect. Opening the dampers of fireplaces could allow outdoor contaminants to enter the home.
C. Correct. Covering heat registers with plastic and tape can help prevent outdoor chemicals from entering the home through the ventilation system.
D. Incorrect. Turning on ceiling fans and air conditioners could potentially bring outdoor contaminants indoors through the ventilation system.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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