Which symptoms does the nurse identify as signs of sepsis in a ...

[LCritchfi]

Which symptoms does the nurse identify as signs of sepsis in a newborn at birth?
 
  a. Fever and tachycardia
  b. Poor respiratory effort and cyanosis
  c. Weak pulse and low heart rate
  d. Marked jitteriness and irritability

Question 2

A 16-year-old client has a long leg cast secondary to a fractured femur. To effectively facilitate the adolescent's return to school, the school nurse should:
 
  1. Meet with teachers and administrators at the school to make sure entrances and classrooms are wheelchair-accessible.
  2. Develop an individualized health plan (IHP) that focuses on long-term needs of the adolescent.
  3. Meet with all of the other students prior to the student's return to school to emphasize the special needs of the injured teen.
  4. Meet with parents of the injured student to encourage homebound schooling until a short leg cast is applied.

[chjcharjto14]

Answer to Question 1

B
Characteristic manifestations of sepsis in the neonate include poor respiratory effort, cyanosis, apnea, persistent hypoglycemia, or frank signs of respiratory distress. Fever, weak pulse and low heart rate, and marked jitteriness and irritability are not characteristics of the neonate with sepsis.

Answer to Question 2

1
Rationale:
1. An adolescent with a long leg cast secondary to a fractured femur will be dependent on a wheelchair for mobility. It is essential that the environment be wheelchair-accessible prior to the adolescent's return to school.
2. While an IHP might be developed, short-term needs would be the focus.
3. It is not necessary to meet with all of the students to discuss the adolescent's needs.
4. There is no reason to encourage the child to stay at home for schooling if he is ready to return.

[LCritchfi]

Thank you

[chjcharjto14]

No problemo