A nurse is caring for a pediatric client admitted with IV fluids. The client has bluish-white spots on the buccal mucosa with no other symptoms evident. Which of the following diseases should the nurse suspect?
Chicken pox
Roseola
Measles
Erythema infectiosum
The Correct Answer is C
A. Chicken pox: Chicken pox (varicella) typically presents with a vesicular rash starting on the trunk and spreading to the face and extremities. It does not cause bluish-white spots on the buccal mucosa and rarely appears without skin lesions.
B. Roseola: Roseola (sixth disease) is characterized by a high fever followed by a sudden rose-colored rash as the fever subsides. It does not cause lesions in the mouth such as Koplik spots, which are associated with measles.
C. Measles: Bluish-white spots on the buccal mucosa, known as Koplik spots, are a hallmark sign of measles and often appear before the characteristic maculopapular rash. This early sign helps identify the disease even when no other symptoms are present.
D. Erythema infectiosum: Also known as fifth disease, this condition usually presents with a "slapped cheek" facial rash followed by a lacy rash on the body. It does not produce oral lesions like the buccal mucosa spots seen in measles.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Dry mouth: Dry mouth is a common and generally mild side effect of sertraline and other SSRIs. It can typically be managed with increased fluid intake or sugar-free lozenges and does not suggest a medical emergency.
B. Excessive sweating: Excessive sweating, especially when accompanied by symptoms such as confusion, agitation, muscle rigidity, or fever, may indicate serotonin syndrome. This is a potentially life-threatening condition and requires immediate medical evaluation.
C. Constipation: Constipation is a possible side effect of many antidepressants, including sertraline. However, it is not associated with serotonin syndrome and can often be managed with dietary changes or mild laxatives.
D. Insomnia: Insomnia is a known, non-urgent side effect of sertraline that may improve over time or be managed with sleep hygiene techniques. It does not indicate the presence of serotonin syndrome.
Correct Answer is ["2250"]
Explanation
Calculation:
- Calculate the volume infused during the first phase.
Volume (mL) = Rate (mL/hr) × Time (hr)
= 500 mL/hr × 3 hr
= 1500 mL.
- Calculate the volume infused during the second phase.
Volume for phase 2 = 200 mL/hr × 3 hr
= 600 mL.
- Calculate the volume infused during the third phase.
Volume for phase 3 = 75 mL/hr × 2 hr
= 150 mL.
- Calculate the total volume infused.
Total volume = Volume for phase 1 + Volume for phase 2 + Volume for phase 3
= 1500 mL + 600 mL + 150 mL
= 2250 mL.
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