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Author Question: A 9-year-old boy has been brought to the emergency department by his father who is concerned by his ... (Read 143 times)

londonang

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A 9-year-old boy has been brought to the emergency department by his father who is concerned by his son's recent fever, stiff neck, pain, and nausea. Examination reveals a petechial rash.
 
  Which of the following assessment questions by the emergency room physician is most appropriate?
  A)
  Is your son currently taking any medications?
  B)
  Has your son had any sinus or ear infections in the last little while?
  C)
  Does your son have a history of cancer?
  D)
  Was your son born with any problems that affect his bone marrow or blood?

Question 2

A 47-year-old woman was diagnosed with amyotrophic lateral sclerosis 3 years ago and has experienced a progressive onset and severity of complications.
 
  She has been admitted to a palliative care unit due to her poor prognosis? What assessments and interventions should the nursing staff of the unit prioritize in their care?
  A)
  Assessment and documentation of cognitive changes, including confusion and restlessness
  B)
  Regular pain assessment and administration of opioid analgesics as needed
  C)
  Assessment of swallowing ability and respiratory status
  D)
  Cardiac monitoring and administration of inotropic medications



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rleezy04

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Answer to Question 1

Ans:
B

Feedback:

The most common symptoms of acute bacterial meningitis are fever and chills; headache; stiff neck; back, abdominal, and extremity pains; and nausea and vomiting. Risk factors associated with contracting meningitis include otitis media and sinusitis or mastoiditis. Particular medications, a history of neoplasm, and hematopoietic problems would be unlikely to relate directly to his symptoms of meningitis.

Answer to Question 2

Ans:
C

Feedback:

The late stages of ALS normally involve deterioration in swallowing and speech and in the respiratory musculature. Cognitive changes are not common complications, and pain and cardiac complications are not noted to be paramount in the course of ALS.





 

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