Question 26 Question 27 Not yet answered Marked out of 1.00 P Flag question A 35-year-old female patient came to an emergency unit with complaint of cough, sore throat and increased body temperature On physical examination, the patient has conjunctivitis. The nurse suspected the case might be measles. What additional clinical feature is important to confirm this diagnosis? a. Koplik spots on the buccal mucosa b. Generalized reddish skin rash c. Acute otitis media d. Acute diarrhea A 43-year-old patient came to a hospital with complaint of fever, fatigue, chest pain and night sweat for two weeks .On physical examination, the patient has tachycardia productive cough and uses accessory muscles for breathing. What is the priority nursing diagnosis for this patient? a. Ineffective airway clearance b. Hyperthermia c. Fluid volume deficit d. Fatigue

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Question 26 Question 27 Not yet answered Marked out of 1.00 P Flag question A 35-year-old female patient came to an emergency unit with complaint of cough, sore throat and increased body temperature On physical examination, the patient has conjunctivitis. The nurse suspected the case might be measles. What additional clinical feature is important to confirm this diagnosis? a. Koplik spots on the buccal mucosa b. Generalized reddish skin rash c. Acute otitis media d. Acute diarrhea A 43-year-old patient came to a hospital with complaint of fever, fatigue, chest pain and night sweat for two weeks .On physical examination, the patient has tachycardia productive cough and uses accessory muscles for breathing. What is the priority nursing diagnosis for this patient? a. Ineffective airway clearance b. Hyperthermia c. Fluid volume deficit d. Fatigue

Answer 1

Question 26:The correct answer is a. Koplik spots on the buccal mucosa.Koplik spots are small, irregularly shaped red spots with a blue-white center that appear on the buccal mucosa (the lining of the cheeks and mouth) in the early stages of measles. These spots are considered a characteristic sign of measles and can help confirm the diagnosis. They typically appear 1-3 days before the onset of the measles rash.Question 27:The correct answer is a. Ineffective airway clearance.In the given scenario, the patient presents with symptoms such as fever, fatigue, chest pain, night sweats, tachycardia, productive cough, and the use of accessory muscles for breathing. These symptoms indicate that the patient is experiencing difficulty in clearing their airway, which can lead to impaired gas exchange and respiratory distress. Therefore, the priority nursing diagnosis for this patient would be "Ineffective airway clearance."

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