A mother comes to the clinic with her 5-year-old child. The mother is concerned that the child has a fever of 100.3° F. The nurse knows that
This fever could cause a seizure
A low grade temperature can decrease multiplication of pathogens
The child should be taking fever reducing medicine
This is serious, they need to see the doctor right away
The Correct Answer is B
A. This fever could cause a seizure:
Febrile seizures are typically associated with temperatures >102°F, especially when rising rapidly.
B. A low-grade temperature can decrease multiplication of pathogens:
A mild fever is a normal immune response that creates an environment less favorable for pathogens to multiply and can enhance immune activity.
C. The child should be taking fever reducing medicine:
Antipyretics may not be necessary for a low-grade fever unless the child is uncomfortable.
D. This is serious, they need to see the doctor right away:
A temperature of 100.3°F is considered low-grade and generally not serious in an otherwise healthy child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Discuss alternative treatment options with the patient
Treatment decisions are made by the provider, not independently by the nurse.
B. Interpret the results of the culture and sensitivity report and make changes to the antibiotic regimen if necessary
Interpreting results and altering regimens is the role of the provider or pharmacist.
C. Administer the antibiotics to the patient as prescribed
This is a nursing duty but doesn't answer the question about explaining the results.
D. Explain the purpose of the culture and sensitivity report and how it guides antibiotic therapy
The nurse educates the patient on why the test was done and how the results help select effective antibiotics.
Correct Answer is D
Explanation
A. Spleen
The spleen filters blood, but it's not the first common site of breast cancer metastasis.
B. Cervical lymph nodes
These are located in the neck and are not primary drainage sites for the breast.
C. Inguinal lymph nodes
These are in the groin and relate to drainage from the lower body, not the breast.
D. Axillary lymph nodes
These are located in the armpits and are the primary drainage nodes for breast tissue, making them the first site of metastasis.
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