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. Providing information about the client's pain relief strategies and positioning preferences helps ensure continuity of care and optimal comfort for the client.

B. Incorrect. While medication administration is important, it's not as relevant for the change of shift report as information related to the client's condition, preferences, and care needs.

C. Incorrect. The client's family history of breast cancer is not the most critical information for the immediate care of the client and can be discussed during a more comprehensive assessment.

D. Incorrect. Although family support and visits are important, the duration of the partner's visit is not as relevant as the client's immediate care needs and preferences.

A. "I should decrease my salt intake to 2 grams per day." B. "I should exercise for 15 minutes two times per week." C. "I can have two glasses of wine with dinner." D. "I will set my blood pressure goal at 130 over 84."

Correct Answer is A

Explanation

A. Correct. Reducing salt intake is an important dietary modification for managing hypertension.
A limit of 2 grams per day is in line with recommended guidelines.
B. Incorrect. The recommended amount of exercise for managing hypertension is at least 150 minutes of moderate-intensity aerobic activity per week, not just 15 minutes twice a week.
C. Incorrect. Alcohol consumption should be limited or moderated, and the client should be cautious about alcohol interactions with blood pressure medication.
D. Incorrect. The blood pressure goal for individuals with hypertension is often set lower, around 130 over 80 or even lower, to reduce the risk of cardiovascular complications.

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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 A

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Correct Answer is A

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