A nurse is collecting data from a child who has pertussis.
Which of the following manifestations should the nurse expect?
Facial erythema.
Beefy, red tongue.
Fever.
Koplik spots.
The Correct Answer is C
Choice A rationale:
Facial erythema (redness of the face) is not a typical manifestation of pertussis (whooping cough) Pertussis primarily presents with a severe cough, often followed by a "whooping" sound during inhalation, and can cause complications like pneumonia and apnea. Facial erythema is not a characteristic sign of the disease.
Choice B rationale:
A beefy, red tongue is not a common manifestation of pertussis. This description is more suggestive of other conditions, such as vitamin deficiencies or certain infections. Pertussis primarily involves respiratory symptoms, and a red tongue is not a typical finding associated with the disease.
Choice C rationale:
Fever is a common manifestation of pertussis, and it is often one of the early symptoms. However, it is not the most specific sign of the disease, as many other infections can also cause fever. While fever can occur in pertussis, it is not the most distinctive feature of the condition.
Choice D rationale:
Koplik spots are not associated with pertussis but rather with measles (rubeola) Koplik spots are small white or grayish-blue spots with a red halo that appear on the mucous membranes inside the cheeks and are characteristic of measles. Pertussis is primarily known for its characteristic cough and paroxysms of coughing, not for Koplik spots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Reporting a penicillin allergy in the client's history is essential when the client is prescribed cefaclor. Cefaclor is a cephalosporin antibiotic, and individuals with a documented penicillin allergy may have an increased risk of cross-reactivity and allergic reactions to cephalosporin antibiotics. Therefore, it is crucial to report a penicillin allergy to the provider to evaluate the potential risks and consider alternative antibiotics if necessary.
Choice B rationale:
An egg allergy is not directly relevant to the prescription of cefaclor. While allergies to various substances can be important in healthcare, egg allergy is not a contraindication or concern when prescribing cefaclor. Therefore, it does not require specific reporting in this context.
Choice C rationale:
Tendonitis is not directly related to the prescription of cefaclor. Tendonitis is an inflammatory condition affecting tendons and is not typically a contraindication for cefaclor or other cephalosporin antibiotics.
Correct Answer is A
Explanation
Choice A rationale:
Supplement spoken language with pictures. Rationale: When caring for a client who speaks a different language, supplementing spoken language with pictures or visual aids is a helpful communication strategy. Visual aids can assist in conveying important information, instructions, and concepts effectively, especially when there is a language barrier.
Choice B rationale:
Ask a family member of the client to interpret. Rationale: Relying on a family member to interpret can be problematic, as it may compromise the privacy and confidentiality of the client's healthcare information. Additionally, family members may not always be available or proficient in the required language, making it an unreliable method of communication.
Choice C rationale:
Recognize that the client nodding indicates an understanding of the information. Rationale: Assuming that nodding indicates understanding is not a reliable approach, as nodding can have different cultural interpretations and may not necessarily indicate comprehension. It is important to use clear and simple language, along with visual aids when necessary, to ensure effective communication.
Choice D rationale:
Speak to the client at an increased volume. Rationale: Speaking at an increased volume is not an appropriate approach to communication with a client who speaks a different language. It can be perceived as rude or aggressive and is unlikely to improve understanding. Clear and concise communication, along with visual aids or interpretation services when needed, is a more effective strategy.
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