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 B

Explanation

A. "I will take two 325 milligram aspirin tablets at the same time.": While aspirin is often recommended for heart attack prevention, taking two 325 mg tablets at the same time is not the standard recommendation for managing stable angina. The client should focus on using nitroglycerin as prescribed and seeking immediate medical attention if symptoms persist.

B. "I will stop what I am doing and lie down.": When chest pain occurs, the client should stop all activity and rest, preferably lying down. Resting can help reduce the heart's workload and alleviate the pain associated with stable angina.

C. "I will call the provider after taking one dose of nitroglycerin.": The correct action is to take one dose of nitroglycerin and wait five minutes. If the pain is not relieved, the client should take another dose and wait another five minutes. If the pain persists after three doses, the client should seek emergency medical help immediately rather than waiting to call the provider.

D. "I will hold my breath and bear down.": Holding the breath and bearing down (the Valsalva maneuver) is not recommended for relieving chest pain. This action can actually decrease venous return to the heart and increase strain on the heart, potentially worsening the situation.

A. Irrigation of a wound with antibiotic solution B. Insertion of a nasogastric tube C. Placement of a central venous catheter D. Administration of an iron injection using Z-track technique

Correct Answer is C

Explanation

A. Incorrect. Irrigation of a wound with antibiotic solution typically does not require informed consent.
B. Incorrect. Insertion of a nasogastric tube does not usually require informed consent unless it involves specific risks or is part of a research protocol.
C. Correct. Placement of a central venous catheter is an invasive procedure that involves risks, and informed consent is usually required.
D. Incorrect. Administration of an iron injection using the Z-track technique is a routine procedure and does not usually require informed consent.

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

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Naxlex Comprehensive Predictor Exams

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