A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

Cerebrospinal fluid (CSF) analysis

Glasgow Coma Scale (GCS) assessment

RBC count

Magnetic resonance imaging (MRI)

Answer and Explanation

The Correct Answer is A

A. CSF analysis is the primary diagnostic test for meningitis, which presents with fever, headache, stiff neck, and rash.

B. The Glasgow Coma Scale (GCS) assesses consciousness but does not confirm the diagnosis of meningitis.

C. An RBC count is unrelated to diagnosing meningitis.

D. MRI can identify structural brain abnormalities but is not the first-line diagnostic test for meningitis.

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Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

Heart rate: Not changed

No specific mention of heart rate changes, so it remains unchanged.

Respiratory rate: Not changed

Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.

Urine output: Improved

Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.

Mucous membranes: Improved

At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.

Abdominal examination: Not changed

The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.

Vomiting frequency: Improved

Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.

A. Provide frequent and routine verbal updates with the parents. B. Encourage the parents to participate in the toddler's plan of care when appropriate. C. Perform more frequent health care rounds on the toddler. D. Conduct interprofessional rounds at the child's bedside so the parents can be inside. E. Provide education to the parents on all nursing interventions to alleviate added anxiety about tasks they are unfamiliar with. F. Provide the parents with the nurse's personal cell phone number to contact if they have questions while they are away from the hospital.

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.

B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.

C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.

D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.

E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.

F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.

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A nurse is caring for a child who has increasing manifestations of fever, headache, stiff neck, and rash. Which of the following diagnostic tests should the nurse expect the health care provider to order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a toddler. Exhibits The nurse is reviewing the toddler's nurses' notes, vital signs, and intake and output record. For each clinical finding, click to specify if the finding indicates the condition has improved, has not changed, or has declined.

Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}

Explanation

Correct Answer is ["A","B","C","D","E"]

Explanation

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