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NCLEX new generation case study

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NCLEX new generation case study

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Headache, shortness of breath, cough, elevated BP, puffiness around the eyes,
dependent edema, neck vein distention, congestion in the lungs
Anorexia NON RELATED
Dry mucous membranes NON RELATED
BUN and creatinine levels NON RELATED
Sodium and potassium levels NON RELATED
Digoxin level NON RELATED
Elevation in BP and RR REALTED


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Circulatory Overload




Otitis externa is also known as swimmer's ear and is associated with inflam-mation and
possibly exudate in the external auditory canal. Otitis externa is confirmed when there

, are no other disorders such as otitis media or mastoiditis. Fever is usually absent, and
hearing is unaffected. Often there is tenderness on palpation of the tragus and
manipulation of the auricle. The lining of the canal is erythematous and edematous, and
discharge may be seen. Another factor that suggests otitis externa is that the child has
been swimming daily for the past week. The other findings noted are not risk factors for
this problem. Attending full school days heightens the risk for otitis media, which can
occur secondary to an upper respiratory infection.


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Rationale for the Previous Question




Fetal hypoxemia
Metabolic fetal acidemia
Uteroplacental insufficiency


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Potential to Result in Fetal Harm




Ear pain
No fever
No sick contacts
Swimming daily for the past week
Tenderness noted on palpation and manipulation of the auricle
Erythema in the ear canal


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