The 16-year-old patient presents to the emergency department (ED) complaining of a headache, fever, malaise, and nuchal rigidity. The patient is found to have a fever of 106°F, heart rate 132 bpm, and blood pressure 135/62 mmHg. A complete blood count is normal with the exception of leukocytosis. Additional assessment reveal sunsetter eyes and papilledema. Which test, if instructed to perform first, prompts the nurse to question the order?
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- Category: Reduction of Risk Potential
- Difficulty: 4
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Additional Reduction of Risk Potential Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 7
The nurse assessing the skull of the 6-month-old infant notes the sutures are approximated and cannot appreciate either the anterior or posterior fontanelle. Further investigation and intervention is warranted to prevent complications of which condition?
- Question Type: Multiple Choice - Select One
- Difficulty: 4
The nurse is performing an assessment on the patient with long, thin limbs and fingers who presents for a yearly check-up in no acute distress. The patient is extremely thin and has pectus excavatum. For which assessment finding is the nurse most vigilant in this patient?
- Question Type: Multiple Choice - Select One
- Difficulty: 10
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