A nurse is collecting data from a child who has pertussis.
Which of the following manifestations should the nurse expect?
Facial erythema.
Beefy, red tongue.
Fever.
Koplik spots.
The Correct Answer is C
Choice A rationale:
Facial erythema (redness of the face) is not a typical manifestation of pertussis (whooping cough) Pertussis primarily presents with a severe cough, often followed by a "whooping" sound during inhalation, and can cause complications like pneumonia and apnea. Facial erythema is not a characteristic sign of the disease.
Choice B rationale:
A beefy, red tongue is not a common manifestation of pertussis. This description is more suggestive of other conditions, such as vitamin deficiencies or certain infections. Pertussis primarily involves respiratory symptoms, and a red tongue is not a typical finding associated with the disease.
Choice C rationale:
Fever is a common manifestation of pertussis, and it is often one of the early symptoms. However, it is not the most specific sign of the disease, as many other infections can also cause fever. While fever can occur in pertussis, it is not the most distinctive feature of the condition.
Choice D rationale:
Koplik spots are not associated with pertussis but rather with measles (rubeola) Koplik spots are small white or grayish-blue spots with a red halo that appear on the mucous membranes inside the cheeks and are characteristic of measles. Pertussis is primarily known for its characteristic cough and paroxysms of coughing, not for Koplik spots.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Answer is B: Write the information at an 8th-grade reading level.
This is the best action for the nurse to take because it ensures that the information is accessible and understandable to a wide audience, which is suitable for the general population¹². The other options are not as effective for the following reasons:
- Use a 12-point font size: This is important for readability, but not enough for comprehension. The font size should also match the layout and design of the brochure.
- Explain medical terminology using basic, one-syllable words: This is a good approach, but it does not address the reading level of the content. The nurse should also use simple sentences and avoid jargon.
- Present information from complex to simple: This might be helpful, but it is not the most effective way to educate the public. The nurse should start with the simpler concepts and gradually build on them to explain the more complex aspects of hypertension.
Correct Answer is B
Explanation
Choice A rationale:
"Request an x-ray of the preschooler's neck." - This action is not indicated for a preschooler with manifestations of respiratory syncytial virus (RSV) RSV primarily affects the respiratory system, and an x-ray of the neck would not be relevant for this condition.
Choice B rationale:
"Initiate droplet precautions." - This is the correct answer. RSV is highly contagious and primarily spreads through respiratory droplets. Initiating droplet precautions, such as wearing a mask and practicing proper hand hygiene, is essential to prevent the transmission of the virus to others in the healthcare setting.
Choice C rationale:
"Administer fluconazole to the preschooler." - Fluconazole is an antifungal medication and would not be appropriate for treating RSV, which is a viral respiratory infection. Antifungal medications are used to treat fungal infections, not viral ones.
Choice D rationale:
"Monitor the preschooler's urine for protein." - Monitoring urine for protein is not relevant to the care of a preschooler with RSV. This action is more suitable for conditions that may affect the kidneys or urinary system but not RSV, which primarily affects the respiratory system.
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