The nurse is caring for an adolescent in the emergency department. The parents report the child was fine yesterday. This morning the child complained of fever, joint pain, headache, and vomiting. On assessment, the nurse finds nuchal rigidity and a petechial rash. What should the nurse suspect
The patient who is an adolescent has following symptoms:
- headache
- vomiting
- fever
- joint pain
- nuchal rigidity or stiffness of neck
- petechial rash
These symptoms have a sudden onset and thus are acute.
The above signs and symptoms suggest that the patient has
meningitis. As the patient has a petechial rash which is commonly
seen in meningitis caused by Neisseria meningitis it is
meningococcal meningitis.
The nurse is caring for an adolescent in the emergency department. The parents report the child...
The nurse is caring for a school-age child in the emergency department with burning on urination and urinary frequency. The urinalysis results include the presence of white blood cells, leukocyte esterase, and nitrates. What should the nurse suspect?
A nurse is caring for a child with meningoccal meningitis. The nurse should look for what sign? a.) Petechial skin rash b.) Low grade fever c.)presence of severe glossitis d.) continual tremors f the extremities Indicate the level of bLOOM'S TAXONOMY with reason for choosing it and identify the client need that is being met using the 2016 NCLEX-RN test plan
Parents bring their 4-year-old child to to the emergency department. The child was diagnosed with pyelonephritis by her physician yesterday and was treated with an antibiotic intramuscular injection. The family was then sent home with an oral antibiotic as well. Today the child is vomiting and running a temperature and therefore unable to keep the antibiotic down. As you prepare to admit her, you feel this suffering could have been eliminated had the child been admitted yesterday. Should you tell...
M1D1: Caring for a Victim of Abuse Scenario: The parents of a five-year-old bring their child into the local emergency department as the pre- school child has been having burning and itching with urination, and has a fever. The parents also report bruising on inner thighs and the child being withdrawn particularly around her uncle. Initial Discussion Post: As the RN, you assess this patient and consider potential abuse. 1. What additional data regarding this potential abuse would you assess?...
as Question 34 1 pts A client telephones the triage nurse in the emergency department to report fever, nausea, chills, and fatigue. The nurse tells the client to come immediatley to the emergency department when the client reveals which additional data? irritability mild recurring headache a stiff sore neck cough Question 35 Brudzinsks sign and Kerng's sign are two tests that help diagnose which neurolgica disordr?
a nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 he which of the following actions should the nurse take first
A nurse in an emergency department is assessing a client who reports right lower quadrant pain, nausea, and vomiting for the past 48 hr. Which of the following actions should the nurse take first? Auscultate bowel sounds. Palpate the abdomen offer pain medication. Administer an antiemetic.
The nurse is working in the emergency department when the paramedics call in and report that they are in route with Mr. T, who was involved in a motor vehicle accident. He is presently unconscious and receiving supplemental oxygen. Vital signs are BP, 110/68; HR, 100; RR, 10; and shallow, T. 98°F. a. What additional information will be helpful? Mr. T was the driver, and he was wearing a seatbelt. His compact car collided head-on with a full-size pickup truck....
Kim, a 5-year-old patient, is admitted to the emergency department in the early evening hours with a sore throat, pain on swallowing, drooling, and a fever of 39° C (102.2° F). She looks ill; her skin is flushed; she is agitated; and she prefers to sit up leaning on her arms. According to Kim's mother, she has not had anything to eat or drink since this morning. What nursing interventions should the nurse implement in this situation? 1. Evidence—Is there...
. Brian Jones, a 22-year-old college student, is admitted from the emergency department to a medical-surgical unit with the diagnosis of acute bacterial meningitis. The patient presented with the following vital signs: temperature, 104°F; blood pressure, 110/70 mm Hg; heart rate, 100 bpm; respiratory rate, 20 breaths/min. The patient presented with a severe, constant headache and nuchal rigidity. (Learning Objective 1) To what room should the charge nurse assign the patient? Away from nursing station, patient requires quite and darkened...