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:
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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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.