Question 1 of 5.

Extract:The nurse in the emergency department (ED) is caring for a 10-year-old client. Item 2 of 5 Nurses' Notes 1322: 10-year-old client and his parents report an 8-day history of a brownish-raised lesion over the back of his left leg. The parents report that the size of the rash has increased. The parents report returning from a one-week camping trip three weeks ago. The parents deny efficacy with over-the-counter antihistamine creams. The client's parents deny that the child has had a fever but has felt 'warm' occasionally and endorsed an intermittent headache. They report an area of firmness in the child's groin. On assessment, there was an erythematous, raised, nonpainful, oval patch on the back of his left leg. This was an enlargement of an inguinal lymph node. The child is alert and fully oriented and denies any pain. Peripheral pulses palpable 2+. No cyanosis or edema in the extremities. Lung sounds clear bilaterally. The parents report that the child did not receive the seasonal influenza vaccine. He currently takes a multivitamin for iron deficiency anemia and was hospitalized one year ago for an appendectomy. The parents state that the child's sibling had influenza one month ago. Vital signs: T 98.8°F (37.1°C); HR 78 beats/min; RR 16 breaths/min; BP 110/76 mm Hg. SpO2 97% on room air.

The nurse considers if the client may have an infection caused by a tick. Click to specify if the features are consistent with the disease process of Rocky Mountain spotted fever (RMSF) or Lyme Disease.

Question 2 of 5.

Extract:The nurse in the outpatient clinic is caring for a 33-year-old female. Item 1 of 1 Nurses' Note 1435: Client reports vaginal discharge that is malodorous x 3 days. The client reports that the discharge is thin, green, and yellow. She reports being sexually active with multiple partners without any protection. She denies any dysuria, dyspareunia, fevers, chills, or fatigue. The client is alert and oriented to person, place, and time. Reports no pain. Lung sounds are clear, with a regular breathing pattern. Active bowel sounds in all quadrants. Peripheral pulses were 2+ and regular—no peripheral edema. Skin is warm and moist. Vital signs: T 98° F (36.7° C), P 72, RR 18, BP 132/76, pulse oximetry reading 98% on room air.

Complete the following sentences by choosing from the lists of options. The client is demonstrating signs and symptoms of ___ To confirm this diagnosis, the nurse anticipates a physician's order for...........

Question 3 of 5.

A nurse is taking care of a client with acute peritonitis. The nurse should do which of the following to meet the client's nutritional needs?

Question 4 of 5.

Extract:The following scenario applies to the next 1 items The nurse cares for a primigravida in labor. Item 1 of 1 Nurses' Note 1940: The client is alert and fully oriented. The client is talkative and has an anxious affect. Cervical dilation of 6 cm with 100% effacement. No vaginal discharge was noted. Contractions are noted every 2-3 minutes, lasting 40-60 seconds with moderate intensity. Fetal Heart Rate Continuous fetal heart monitoring (FHR): 130-145/minute with normal variability. Vital Signs • Oral Temperature 98o F (37o C) • Heart rate 84/minute • Respirations 20/minute • Blood pressure 131/72 mm Hg • Oxygen saturation 95% on room air

The nurse reviews the client's clinical data. Drag a word from the choices below to complete the sentence. Based on the clinical data, the client is in the ___ stage of labor. Specifically, the ___ phase.

Question 5 of 5.

The nurse is caring for a client who has been prescribed sertraline. The nurse understands that this medication is prescribed for which of the following conditions?