A nurse is planning care for a child who has influenzae type B. Which of the following actions should the nurse take?

Instruct the parent about antibiotic therapy.

Implement droplet precautions.

Perform chest physiotherapy.

Administer gamma globulin.

Answer and Explanation

The Correct Answer is B

A. Antibiotics are not effective against influenza, which is a viral infection. Antiviral medications may be used if prescribed.
B. Implementing droplet precautions helps to prevent the spread of the influenza virus, which is transmitted through respiratory droplets.
C. Chest physiotherapy is not typically indicated for influenza unless there are complications like pneumonia that require it.
D. Gamma globulin is not used for treating influenza type B. Antiviral medications and supportive care are the standard treatments.

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Correct Answer is B

Explanation

A. Polyuria is not typically associated with sepsis; it may be seen in other conditions such as diabetes. In sepsis, urine output is often decreased due to impaired kidney function and shock.
B. Disorientation is a sign of sepsis, indicating that the infection may have spread to the bloodstream and is affecting the central nervous system. Altered mental status is a critical indicator of severe infection.
C. Hyperactive bowel sounds are not associated with sepsis. In sepsis, bowel sounds may actually be decreased due to decreased perfusion to the gastrointestinal tract.
D. Hypoglycemia can occur in sepsis, but it is not as specific an indicator as disorientation. Monitoring blood glucose levels is important, but disorientation provides a clearer sign of systemic infection.

A. A 13-year-old client who requests contraception advice B. A 16-year-old client who requires prenatal care for pregnancy C. A 14-year-old client who requires a biopsy of a mole D. A 15-year-old client who requests testing for an STI

Correct Answer is C

Explanation

A. Many states allow minors to consent to contraceptive services without parental consent.
B. Many states allow minors to consent to prenatal care without parental consent.
C. A biopsy is a medical procedure that typically requires parental consent for minors.
D. Many states allow minors to consent to testing and treatment for STIs without parental consent.

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A nurse is planning care for a child who has influenzae type B. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a preschooler who sustained a major burn injury 5 days ago. Which of the following findings should the nurse identify as a manifestation of sepsis?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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