The clinic nurse is assessing a teenage girl who reports fever, ...

[nautica902]

The clinic nurse is assessing a teenage girl who reports fever, chills, sore throat, and extreme fatigue during the last 2 weeks. Which focused assessment should the nurse perform?
 
  A.
  Assess lymph nodes.
  B.
  Collect buccal swabs.
  C.
  Obtain a urinalysis.
  D.
  Palpate the abdomen.

Question 2

A parent brings her child to the pediatric clinic and reports that the child has a rash on one side of his body that reminds her of chickenpox, but is more painful. Which medication does the nurse anticipate teaching the parent about?
 
  A.
  Acyclovir (Zovirax)
  B.
  Azathioprine (Imuran)
  C.
  Diphenhydramine (Benadryl)
  D.
  Intravenous immune globulin (IVIG)

[bobsmith]

Answer to Question 1

ANS: A
This girl's age and symptoms are highly suggestive of infectious mononucleosis. The nurse should assess for swollen and tender occipital and cervical lymph nodes. The nurse should not palpate the abdomen because the spleen, if enlarged, can rupture under pressure. Buccal swabs and urinalysis are not related.

Answer to Question 2

ANS: A
This rash sounds like herpes zoster (shingles), which is treated with acyclovir. Imuran is used in autoimmune disorders. Benadryl is used for itching. IVIG is also used in immune disorders.