A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

Flaky, peeling skin.

Red bumps across chest.

White coating on tongue.

High, protracted fever.

Answer and Explanation

The Correct Answer is B

A. Flaky, peeling skin (desquamation) occurs in later stages of scarlet fever, typically after the rash begins to fade. It is not an early sign of the disease.
B. A red, sandpaper-like rash that typically begins on the chest and spreads outward is one of the earliest indications of scarlet fever. This rash is caused by exotoxins produced by Streptococcus pyogenes and is a hallmark sign of the illness.
C. A white coating on the tongue, often followed by a characteristic “strawberry tongue,” develops later in the progression of scarlet fever rather than as an early symptom.
D. While fever is a common symptom of streptococcal infections, it is not the earliest indicator of scarlet fever. The rash usually appears within 12 to 48 hours of fever onset, making it a more specific early sign.

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Correct Answer is ["45"]

Explanation

1mg=1000mcg

4mg= 41000= 4000mcg

Desired dose= 3mcg/min

Desired dose per hour=3mcg60= 180mcg Form the prepared solution: 1000ml=4000mcg

?= 180mcg

=1801000/4000

=45ml/hr

A. Quiet, calm surroundings. B. Stimulating sounds and activity. C. Cool, moist air. D. Adequate sunlight.

Correct Answer is D

Explanation

A. Quiet, calm surroundings may be beneficial for clients recovering from various conditions, but it's not specifically significant for osteomalacia.
B. Stimulating sounds and activity are not directly related to the care of a client with osteomalacia.
C. Cool, moist air is not a significant factor in planning care for osteomalacia.

D. Adequate sunlight exposure is crucial for the synthesis of vitamin D, which is essential for calcium absorption and bone health. Therefore, ensuring the client receives adequate sunlight exposure is the most significant environmental factor for someone with osteomalacia

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A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)

Correct Answer is ["45"]

Explanation

Which environmental factor is most significant when planning care for a client with osteomalacia?

Correct Answer is D

Explanation

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