A mother calls the nursing clinic to report that her 13-year-old ...

[Zoey63294]

A mother calls the nursing clinic to report that her 13-year-old daughter has been using tampons for the last two days and now has a high fever. She has developed a rash over her entire body in the last hour.
 
  The mother asks if she should make a clinic appointment. The best response by the nurse would be: 1. Your daughter probably has a virus, so provide her with plenty of fluids. They symptoms should subside in a few days..
   2. If you feel your daughter should be seen, then I will transfer you to the front desk to make an appointment..
   3. Since your daughter is using tampons and has a high fever, she needs to be seen soon. Let me make an appointment for you as soon as possible today..
   4. You daughter has toxic shock syndrome and should be seen right away..

Question 2

The school nurse has a 6 year old enter the office with a laceration to the left leg. The area is bleeding profusely. The nurse's first reaction to the situation should be to:
 
  1. Apply a sterile dressing and antibiotic ointment to the area.
   2. Apply a band-aid.
   3. Irrigate the wound with normal saline.
   4. Use sterile gauze to apply pressure.

[juliaf]

Answer to Question 1

3
Feedback
1. The symptoms are similar to those of toxic shock syndrome, and the teen should be seen immediately.
2. Passing the patient to someone else for an appointment increases the chance of the parent hanging up the phone. The nurse should take responsibility in this situation.
3.

The mother is reporting signs of toxic shock syndrome and should be seen immediately for confirmation of the syndrome.
4. A full assessment needs to be made by the doctor to confirm a medical diagnosis.

Answer to Question 2

4
Feedback
1. Will be an important step, but is not the initial response needed
2. Depending on the size of the wound, a band-aid may not be appropriate. Also, it is not the initial response needed.
3. Cleansing the wound is important, but it is not the immediate need in this situation.
4. Stopping the bleeding is the priority nursing intervention.

[Zoey63294]

Thanks for the timely response, appreciate it

[CAPTAINAMERICA]

Excellent