After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is spreading up the leg. Which admission assessment finding(s) should the nurse report to the healthcare provider? (Select all that apply.)

Red blood cell count (RBC).

Core body temperature.

Swollen lymph nodes in the groin.

Location of the initial intravenous (IV) site.

White blood cell count (WBC).

Answer and Explanation

Correct Answer : B,C,E

A)   Incorrect - Red blood cell count (RBC) is not directly relevant to the assessment of infection and its spread.
B)   Correct- Core body temperature can be an indicator of systemic infection and needs to be reported to the healthcare provider for assessment and intervention.
C)   Correct- Swollen lymph nodes in the groin suggest local and regional lymphatic involvement, indicating possible spread of infection. This finding needs further assessment and intervention.
D)   Incorrect - The location of the initial intravenous (IV) site is not directly relevant to the assessment of infection and its spread.
E)   Correct- An elevated white blood cell count (WBC) can indicate an inflammatory response to infection. This finding should be reported to the healthcare provider for further evaluation and treatment.

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Correct Answer is D

Explanation

The correct answer is choiced. Children usually resume their toileting behaviors when they leave the hospital.

Choice A rationale:

While it is true that hospitalization can be stressful for preschoolers, providing diapers may not be necessary. Regression in toileting is often temporary and related to the stress of the hospital environment.

Choice B rationale:

Initiating a retraining program immediately after returning home may not be necessary. Most children will naturally resume their previous toileting behaviors once they are back in a familiar and less stressful environment.

Choice C rationale:

Bringing a potty chair from home can be helpful in some cases, but it is not always practical or necessary. The child is likely to resume normal toileting behaviors once they are back in their usual environment.

Choice D rationale:

This is the correct answer because children often regress in their toileting behaviors due to the stress and unfamiliarity of the hospital environment.Once they return home, they typically resume their previous toileting habits.

A. Buttered whole wheat toast and coffee. B. Sausage, poached eggs, and milk. C. Granola, strawberries, and tea. D. Oatmeal, banana, and herbal tea.

Correct Answer is D

Explanation

This breakfast selection is the most appropriate for a 16-year-old with diarrhea. Oatmeal is a bland and easily digestible food that can help to firm up the stool. Bananas are a good source of potassium and can help replace electrolytes that may be lost through diarrhea. Herbal tea is a non-caffeinated option that can help to soothe the digestive system. It is important to avoid foods that are greasy, high in fat, or spicy, as they can worsen diarrhea symptoms.

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After a spider bite on the lower extremity, a client is admitted for treatment of an infection that is spreading up the leg. Which admission assessment finding(s) should the nurse report to the healthcare provider? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 3-year-old boy was successfully toilet trained prior to his admission to the hospital for injuries sustained from a fall. His parents are very concerned that the child has regressed in his toileting behaviors. Which information should the nurse provide to the parents?

Correct Answer is D

Explanation

Which breakfast selection should the nurse recommend for a 16-year-old with diarrhea?

Correct Answer is D

Explanation

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