The clinic nurse receives phone calls about the following 4 clients. Which call should the nurse return first?

Question

Quizplus · Accepted Answer

Inconsolable crying and drawing up of the legs toward the abdomen in a child age 6-36 months could indicate intussusception or some other abdominal pathology (eg, appendicitis). Additional findings in intussusception include stools that have mucus and blood, often called "currant jelly" stools, and vomiting. Intussusception occurs when one section of bowel telescopes over another, which can block the passage of intestinal contents, interrupt blood supply, and cause intestinal tears (perforation). It is an emergency, and the client should be brought to the emergency department for further evaluation. (Option A) Mild to moderate fever and local reactions are common after diphtheria, tetanus, acellular pertussis (DTaP) injections. Severe allergic reaction (eg, anaphylaxis) and encephalopathy (eg, decreased level of consciousness, prolonged seizures) are the most serious reactions that require priority attention. (Option C) Pneumonia is often accompanied by chest and side pain that worsens with deep breathing due to rubbing of the nearby inflamed pleura (pleuritis). This would not be the priority phone call. (Option D) These symptoms are consistent with bacterial conjunctivitis, or inflammation of the clear membrane (conjunctiva) that covers the eye. This client is second in priority. Educational objective: Intussusception occurs when one section of bowel telescopes over another. Inconsolable crying, drawing up of the legs toward the abdomen, and "currant jelly" stools (mixed with blood and mucus) are the classic findings. It is an emergency and can lead to bowel obstruction, decreased blood supply, and perforation.

The Clinic Nurse Receives Phone Calls About the Following 4