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Question ⬇

Physiological Integrity

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84. The mother of a 2-year-old child is concerned her child may have novel H1N1. The nurse tells the mother that she should immediately report:

Choices

Choices ⬆ ⬇

1. Loss of appetite.

2. Fever for 2 days.

3. Vomiting

4. Lack of alertness.

Question  Hint

Hints ⬆ ⬇

Test-Taking Tip

Choose a neurological sign, rather than gastrointestinal (Answers 1 and 3).

Content Area: Child Health, Infectious Disease; Integrated Process: Teaching and Learning; Cognitive Level: Analysis; Client Need/Subneed: Safe, Effective Care Environment/Safety and Infection Control

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Rationale ⬆

Physiological Integrity

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4.  

Answer 1 is incorrect because loss of appetite may occur in children without severe illness. Answer 2 is incorrect because swine flu may present without a fever. Children also frequently have fevers without any underlying pathology. Answer 3 is incorrect because vomiting would need to be persistent and lead to dehydration to be a concern. Answer 4 is correct because a change in alertness or responsiveness is an emergency warning sign in children and needs urgent attention.

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