A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

Flaky, peeling skin.

Red bumps across chest.

White coating on tongue.

High, protracted fever.

Answer and Explanation

The Correct Answer is B

A. Flaky, peeling skin (desquamation) occurs in later stages of scarlet fever, typically after the rash begins to fade. It is not an early sign of the disease.
B. A red, sandpaper-like rash that typically begins on the chest and spreads outward is one of the earliest indications of scarlet fever. This rash is caused by exotoxins produced by Streptococcus pyogenes and is a hallmark sign of the illness.
C. A white coating on the tongue, often followed by a characteristic “strawberry tongue,” develops later in the progression of scarlet fever rather than as an early symptom.
D. While fever is a common symptom of streptococcal infections, it is not the earliest indicator of scarlet fever. The rash usually appears within 12 to 48 hours of fever onset, making it a more specific early sign.

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Correct Answer is ["8"]

Explanation

Given:

IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline.

The prescribed rate is 8 units/hr.

First, we find out how many units are present in 1 mL of the IV solution: 100 units / 100 mL = 1 unit / 1 mL

Now, since the prescribed rate is 8 units/hr, we need to infuse 8 mL/hr of the IV solution to deliver 8 units of insulin per hour.

So, the nurse should program the infusion pump to deliver 8 mL/hr.

A. Increase the intake of dark green leafy vegetables while taking warfarin. B. Eat two servings of raw dark green leafy vegetables daily and continue for 30 days after warfarin therapy is completed. C. Eat approximately the same amount of leafy green vegetables daily so the amount of vitamin K consumed is consistent. D. Avoid eating all foods that contain any vitamin K because it is an antagonist of warfarin.

Correct Answer is C

Explanation

A. Increasing the intake of dark green leafy vegetables while taking warfarin can affect INR levels due to their high vitamin K content, potentially increasing the risk of bleeding.
B. Eating two servings of raw dark green leafy vegetables daily and continuing for 30 days after warfarin therapy is completed is not recommended as it may affect INR levels.
C. Eating approximately the same amount of leafy green vegetables daily helps maintain consistent vitamin K intake, which is important for keeping INR levels stable while on warfarin therapy.
D. Avoiding all foods containing vitamin K is not necessary and may lead to nutritional
deficiencies; instead, it's important to consume a consistent amount of vitamin K-containing foods.

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A preschool-aged child who is being treated for Streptococcal pharyngitis returns to the clinic for signs of scarlet fever. Which assessment finding provides the earliest indication to the nurse that the child is experiencing a reaction to the toxins that are created by the Streptococcus bacteria?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The healthcare provider prescribes regular insulin 8 units/hr intravenously (IV). The IV solution contains 100 units of regular insulin in 100 mL of 0.9% normal saline. How many mL/hr should the nurse program the infusion pump? (Enter numerical value only.)

Correct Answer is ["8"]

Explanation

A client is being discharged with a prescription for warfarin. Which instruction should the nurse provide this client regarding diet?

Correct Answer is C

Explanation

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