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jk313581 jk313581
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8 years ago
The nurse has just started assessing a young child who is febrile and appears very ill. There is hyperextension of the child’s head (opisthotonos) with pain on flexion. Which is the most appropriate action?
a.   Refer for immediate medical evaluation.
b.   Continue assessment to determine cause of neck pain.
c.   Ask parent when neck was injured.
d.   Record “head lag” on assessment record, and continue assessment of child.
Textbook 
Wong's Essentials of Pediatric Nursing

Wong's Essentials of Pediatric Nursing


Edition: 9th
Authors:
Read 170 times
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LivonLivon
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8 years ago
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jk313581 Author
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8 years ago
Makes a lot more sense now, and thanks for the explanation, Livon!!
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