PEDI test #4
An adolescent is seen in the health care clinic with complaints of chronic fatigue. On physical examination, the nurse notes that the adolescent has swollen lymph nodes. A laboratory test is performed, and the results indicate the presence of Epstein-Barr virus (mononucleosis). The nurse calls the mother of the adolescent to inform the mother of the test results and reinforces instructions regarding the care of the adolescent. Which statement by the mother indicates an understanding of the care measures? A."I need to keep my child on bed rest for 3 weeks." B."I will call the primary health care provider if my child is still feeling tired in 1 week." C."I need to isolate my child so that the respiratory infection is not spread to others." D."I need to call the primary health care provider if my child complains of abdominal pain or left shoulder pain."
D."I need to call the primary health care provider if my child complains of abdominal pain or left shoulder pain."
The nurse knows that diabetic teaching has been effective when parents of a newly diagnosed child state they will, during an illness, provide the child with: A. more insulin B. more calories C. less insulin D. less protein
A. more insulin
The mother of a 3-year-old child arrives at a clinic and tells the nurse that the child has been scratching the skin continuously and has developed a rash. The nurse assesses the child and suspects the presence of scabies. The nurse bases this suspicion on which finding noted on assessment of the child's skin? A.Fine grayish red lines B.Purple-colored lesions C.Thick, honey-colored crusts D.Clusters of fluid-filled vesicles
A.Fine grayish red lines
A child seen in the clinic is found to have rubeola (measles) and the mother asks the nurse how to care for the child. Which instruction should the nurse provide to the mother? A.Keep the child in a room with dim lights. B.Give the child warm baths to help prevent itching. C.Allow the child to play outdoors because sunlight will help the rash. D.Take the child's temperature every 4 hours and administer 1 baby aspirin for fever.
A.Keep the child in a room with dim lights.
A child is diagnosed with chicken pox. The nurse collects data regarding the child. Which finding is characteristic of chicken pox? A.Macular rash on the trunk and scalp B.Pseudomembrane formation in the throat C.Maculopapular or petechial rash on the extremities D.Small, red spots with a bluish-white center and red base
A.Macular rash on the trunk and scalp
When planning care for a child with contact dermatitis, which concern is the highest priority for the child? A.Pain B.Infection C.Skin breaks D.Parental knowledge about care
A.Pain
A child is diagnosed with scarlet fever. The nurse collects data regarding the child. Which is characteristic of scarlet fever? A.Pastia's sign B.Abdominal pain and flaccid paralysis C.Dense pseudoformation membrane in the throat D.Foul-smelling and mucopurulent nasal drainage
A.Pastia's sign
The nurse of a well-baby clinic prepares to administer an immunization to a child. The mother of the child tells the nurse that the child has had a fever and is taking antibiotics. The nurse takes the child's temperature and notes that it is 101.5° F rectally. The nurse plans to take which action? A.Delay the immunization. B.Administer the immunization. C.Administer one of the three scheduled immunizations. D.Administer one half of the prescribed dose of each scheduled immunization.
A.Delay the immunization.
The nurse provides instructions to the mother of a child with impetigo regarding the application of antibiotic ointment. The mother asks the nurse when the child can return to school. Which response by the nurse is appropriate? A.Ten days after using the antibiotic ointment B.One week after using the antibiotic ointment C.As soon as the antibiotic ointment is started D.Forty-eight hours after using the antibiotic ointment
D.Forty-eight hours after using the antibiotic ointment
A child is diagnosed with infectious mononucleosis. The nurse reinforces homecare instructions to the parents about the care of the child. Which instruction should the nurse provide to the parents? A.Maintain the child on bed rest for 2 weeks. B.Maintain respiratory precautions for 1 week. C.Notify the pediatrician if the child develops a fever. D.Notify the pediatrician if the child develops abdominal or left shoulder pain.
D.Notify the pediatrician if the child develops abdominal or left shoulder pain.
When instructing a new mom on providing skin care to her newborn, which of the following should NOT be included in the teaching? a) "Change diapers frequently." b) "Give the newborn sponge baths until the umbilical cord falls off." c) "Use talc powders to prevent diaper rash." d) "Daily tub baths are not necessary."
c) "Use talc powders to prevent diaper rash."
A nurse is teaching the parent of an infant who has seborrheic dermatitis of the scalp. Which of the following instructions should the nurse include in the teaching? A. You can use petrolatum to help soften and remove patches from your infants scalp. B. When patches are present, you should keep your infant away from others. C. You should avoid washing your infant's hair while patches are present on the scalp. D. When patches are present, it indicates that your infant has a systemic infection
A. You can use petrolatum to help soften and remove patches from your infants scalp.
As the nurse, taking care of the patient who has been hospitalized for 3 days with dehydration, what abnormal finding would you report to the MD? A. Weight change of 100 lbs to 92 lbs and urinary output of less than 1 ml/kg/hr B. 1-3 second skin turgor C. Weight change of 90 lbs to 93 lbs and dry mucous membranes D. Options A & C
A. Weight change of 100 lbs to 92 lbs and urinary output of less than 1 ml/kg/hr
You are going over insulin administration education with a patient's mother. Which statement by her raises concern? A. "When she is sick I will hold her insulin." B."I always carry sugary items in case she has a hypoglemic attack." C. "I will bring her in every 3 months for a glycosylate hemoglobin blood drawn." D. "I ordered her a Medic-Alert bracelet yesterday."
A. "When she is sick I will hold her insulin."
A nurse is caring for a child who has cellulitis on the hand. Which of the following actions should the nurse take? A. Administer oral antibiotics B. Cleanse area using Burrow solution C. Prepare for cryotherapy D. Apply a topical anti fungal medication
A. Administer oral antibiotics
Which interventions can be used to prevent diaper dermatitis? (Select all that apply.) A. Expose diaper area to air and light. B. Use non-alcohol baby wipes for cleansing. C. Apply ointments with vitamins A and D and lanolin. D. Cleanse with mild soap and water. E. Apply corticosteroid ointment.
A. Expose diaper area to air and light. B. Use non-alcohol baby wipes for cleansing. C. Apply ointments with vitamins A and D and lanolin. D. Cleanse with mild soap and water.
A nurse is assessing an infant who has eczema. Which of the following findings should the nurse expect? (Select all that apply) A. Generalized distribution of lesions B. Papules C. Ecchymosis in flexural areas D. Crusting lesions E. Keratosis pillars
A. Generalized distribution of lesions B. Papules E. Keratosis pillars
A mother of a child brings the child to a clinic and reports that the child has a fever and has developed a rash on the neck and trunk. Roseola is diagnosed, and the mother is concerned that her other children will contract the disease. Which instruction should the nurse reinforce to the mother to prevent the transmission of the disease? A."Disease transmission is unknown." B."The disease is transmitted through the urine and feces, so the other children should use a separate bathroom." C."The disease is transmitted through the respiratory tract, so the child should be isolated from the other children as much as possible." D."The disease is transmitted by contact with body fluids, so any items contaminated with body fluids need to discarded in a separate receptacle."
A."Disease transmission is unknown."
The nurse is reinforcing home-care instructions to the parents of a 3-year-old child with scabies. Which statement by a parent indicates the need for further teaching? A."I understand that I need to leave the scabicide on for 4 hours before washing it off." B."I will need to seal up all my child's nonwashable toys in a plastic bag for at least 4 days." C."I realize that everyone who has come in contact with my child will need to be treated for scabies." D. "I know I need to wash all the clothing and bedding in hot water with detergent and dry in a hot dryer."
A."I understand that I need to leave the scabicide on for 4 hours before washing it off."
The nurse is caring for a 4-month-old infant with respiratory syncytial virus (RSV). Several clients are being admitted to the unit and assignments are being made. The nurse should question being assigned which newly admitted clients? Select all that apply. A.The 6-month old with bronchopulmonary dysplasia B.The 11-month-old client with diarrhea C.The 16-year-old client taking antibiotics D.The 1-year-old client taking corticosteroids E.The 15-year-old with bone marrow suppression
A.The 6-month old with bronchopulmonary dysplasia D.The 1-year-old client taking corticosteroids
The clinic nurse is reviewing the health care provider's prescription for a child who has been diagnosed with scabies. Lindane has been prescribed for the child. The nurse questions the prescription if which is noted in the child's record? A.The child is 18 months old. B.The child is being bottle-fed. C.A sibling is using lindane for the treatment of scabies. D.The child has a history of frequent respiratory infections.
A.The child is 18 months old.
A 5 year old a has temperature of 103.6 'F and is brought into the emergency room by his mother. Which statement by the mother causes concern? A. "I've tried to encourage fluid intake every hour." B. "I administered Aspirin to help with the fever a few hours ago." C. "I re-took his temperature 30 minutes after I gave the medication and it was still high." D. "I gave him a sponge bath to help with the fever."
B. "I administered Aspirin to help with the fever a few hours ago."
The nurse caring for a child who sustained a burn injury plans care based on which pediatric considerations associated with this injury? Select all that apply. A. Scarring is less severe in a child than in an adult. B. A delay in growth may occur after a burn injury. C. An immature immune system presents an increased risk of infection for infants and young children. D. The lower proportion of body fluid to mass in a child increases the risk of cardiovascular problems. E. Fluid resuscitation is unnecessary unless the burned area is more than 25% of the total body surface area. F. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.
B. A delay in growth may occur after a burn injury C. An immature immune system presents an increased risk of infection for infants and young children. F. Infants and young children are at increased risk for protein and calorie deficiency because they have smaller muscle mass and less body fat than adults.
Which types of skin grafts are considered permanent? (Select all that apply.) A. Homografts B. Autografts C. Isografts D. Xenografts E. Heterografts
B. Autografts C. Isografts
A nurse is teaching a group of parents about preventing insect bites. Which of the following information should the nurse include in the teaching? (Select all that apply) A. Wear perfume when outside. B. Avoid areas of tall grass C. Wear bright-colored clothing. D. Wear insect repellent. E. Check house pets frequently
B. Avoid areas of tall grass D. Wear insect repellent. E. Check house pets frequently
A child is being treated for frostbite of the right hand. How will the nurse know that this condition is improving? A. Hand appears pale and is pain free. B. Hand is deep purple associated with severe pain. C. Radial pulse is palpable. D. Hand blanches with pressure applied.
B. Hand is deep purple associated with severe pain.
A two-year-old has been admitted with a diagnosis of Kawasaki disease. Which of the following would be a priority on the plan of care for this child? A. vital signs every 6 hours B. Hourly intake and output records C. Skin care D. Passive range-of-motion exercises
B. Hourly intake and output records
A nurse is assessing an infant who has scabies. Which of the following findings should the nurse expect? (Select all that apply) A. Presence of nits on the hair shaft. B. Pencil-like marks one the hands. C. Blisters on the soles of the feet. D. Small red bumps on the scalp. E. Pimples on the trunk.
B. Pencil-like marks one the hands. C. Blisters on the soles of the feet. E. Pimples on the trunk
The nurse reviews the home care instructions with a parent of a 3-year-old with pertussis. Which statement by the parent indicates a need for further teaching? A."I know that my child will make a loud whooping sound." B."I understand this whooping cough is viral and I have to let it run its course." C."I understand that I need to watch for respiratory distress signs with pertussis." D."I can reduce the environmental factors that can trigger coughing, like dust and smoke."
B."I understand this whooping cough is viral and I have to let it run its course."
A child with rubeola (measles) is being admitted to the hospital. When preparing for the admission of the child, which precautions should be implemented? Select all that apply. A.Enteric B.Contact C.Airborne D.Protective E.Neutropenic
B.Contact C.Airborne
A nursing student is asked to discuss human immunodeficiency virus (HIV) during a clinical conference. The nursing student should include which correct item in the discussion? A.HIV primarily attacks the hematological system. B.HIV virus attacks the immune system by destroying T lymphocytes. C.Most newborns of HIV-positive women test positive for HIV virus. D.In HIV, the B cells are depleted and cannot signal T4 cells to form protective antibodies.
B.HIV virus attacks the immune system by destroying T lymphocytes.
The nurse is monitoring a child with burns during treatment for burn shock. The nurse understands that which assessment provides the most accurate guide to determine the adequacy of fluid resuscitation? A.Skin turgor B.Neurological assessment C.Level of edema at burn site D.Quality of peripheral pulses
B.Neurological assessment
A mother brings her child in the office for a follow-up appointment and voices concern that her child has started urinating more than normal and is constantly thirsty & hungry. As the nurse, you suspect?* A. Hypoglyemia B. Phenylkentonuria C. Diabetes Mellitus D. Tret's syndrome
C. Diabetes Mellitus
A 1-year-old child has been treated for 2 weeks for an electrical burn of the mouth sustained from biting into an electrical cord. The child's mother calls the nurse reporting concern because her child's burn continues to bleed at times throughout the day. What education should the nurse provide to the patient's mother? A. Take the child to the emergency department immediately. B. Medicate with acetaminophen every 4 hours. C. Electrical burns of the mouth may bleed for several weeks. D. Have the child rinse and spit with salt water.
C. Electrical burns of the mouth may bleed for several weeks.
During teaching, the nurse should advise the family of a child newly-diagnosed with Graves' disease to: A. Encourage outdoor activities B. Limit bathing to prevent skin irritation C. Promote interaction with one friend instead of a group D. Set the thermostat higher than normal for comfort
C. Promote interaction with one friend instead of a group
Several children have contracted measles (rubeola) in a local school, and the nurse provides information to the mothers of the children about this communicable disease. Which statement by a mother indicates a need for further teaching? A."The disease is caused by a virus." B."We will watch for the complication of otitis media." C."The symptoms increase in severity after the rash appears." D."Small, irregular red spots with a minute, bluish white center are seen on buccal mucosa before the rash appears."
C."The symptoms increase in severity after the rash appears."
The nurse reinforces home care instructions to the parents of a child hospitalized with pertussis. The child is in the convalescent stage and is being prepared for discharge. Which statement by the parents indicates a need for further teaching? A."We need to encourage adequate fluid intake." B."Coughing spells may be triggered by dust or smoke." C."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks." D."Good hand-washing techniques need to be instituted to prevent spreading the disease to others."
C."We need to maintain respiratory precautions and a quiet environment for at least 2 weeks."
The nurse assigned to care for a child with mumps is monitoring the child for the signs and symptoms associated with the common complication of mumps. The nurse monitors for which sign/symptom that is indicative of this common complication? A.Pain B.Deafness C.Nuchal rigidity D.A red, swollen testicle
C.Nuchal rigidity
The nurse prepares to administer a measles, mumps, and rubella (MMR) vaccine to a 5-year-old child. How should the nurse plan to administer the vaccine? A.Intramuscularly in the deltoid muscle B.Subcutaneously in the gluteal muscle C.Subcutaneously in the outer aspect of the upper arm D.Intramuscularly in the anterolateral aspect of the thigh
C.Subcutaneously in the outer aspect of the upper arm
An infant is suspected to be human immunodeficiency virus (HIV) positive, and the nurse provides information to the parents about the care of their infant. Which indicates to the nurse that the parents need further teaching about the care of their HIV-positive infant? A.The parents ask about a prescription for an antiretroviral medication. B.The parents are able to verbalize signs and symptoms of failure to thrive. C.The parents plan to use rice cereal to help with watery stools when they occur. D.The parents state they will not allow anyone with a cold to hold and kiss the baby.
C.The parents plan to use rice cereal to help with watery stools when they occur.
A parent calls the clinic nurse to schedule an appointment for her child's diphtheria, tetanus, and pertussis vaccination. The parent tells the nurse that her child had a swelling at the injection site and low-grade fever after the last diphtheria, tetanus, and pertussis (DTaP) vaccination. Which instructions should the nurse give to the parent to lessen this type of reaction to the upcoming vaccination? A.To give the child a sugary juice drink before coming to the clinic appointment B. To request that the injection be given with a shorter needle than the one used before C.To administer an appropriate dose of Tylenol 45 minutes before the appointment D.To bring a dose of Tylenol to the appointment and administer it before leaving the clinic
C.To administer an appropriate dose of Tylenol 45 minutes before the appointment
What statement by the mother of a 1-year-old with intertrigo suggests that she needs more education about treatment for this diagnosis? A. "I should let him run around without a diaper to help him get better." Incorrect B. "I should make sure his diaper is changed frequently." C. "I should wash my hands before and after changing his diaper." D. "I should keep him away from other kids until this is healed."
D. "I should keep him away from other kids until this is healed."
A 15 year old, who is type 1 diabetic, reports that she almost "passes out" during gym class. What information would you assess from the teenager?* A. None of the options are correct. B. What type of form she needs to have filled out so she can be excused from gym class. C. How she takes her blood glucose after exercise. D. Her eating habits prior to gym class.
D. Her eating habits prior to gym class.
Which is a characteristic of tinea capitis? A. Lesions located between the toes B. An oval, scaly inflamed ring with a clear center C. A raised, scaly rash in the groin area D. Patches of alopecia
D. Patches of alopecia
An adolescent with Addison's disease may need an increased dosage of glucocorticoids to which of the following situations? A. completing spring semester of school B. Gaining 7 pounds C. Death of a family member D. Undergoing a root canal
D. Undergoing a root canal
A child is ordered by the doctor for ketone and glucose urine testing. The patient is to collect it at home. How would you instruct the patient to collect the specimen?* A. Cleanse the area with betadine. B. Encourage the patient to consume at least 24 oz of water prior to the specimen collection. C. Demonstrate a clean catch techinque. D. Use the second voided urine for most accurate results.
D. Use the second voided urine for most accurate results
A patient with a history is diabetes is exhibiting sweating and slurred speech. What do you suspect is the cause? A. hyponaterima B. hypernaterima C.hyperglycemia D. hypoglycemia
D. hypoglycemia
Several children have contracted rubeola (measles) in a local school, and the school nurse conducts a teaching session for the parents of the school children. Which statement, if made by a parent, indicates a need for further teaching regarding this communicable disease? A."Small blue-white spots with a red base may appear in the mouth." B."The rash usually begins centrally and spreads downward to the limbs." C."Respiratory symptoms such as a very runny nose, cough, and fever occur before the development of a rash." D."The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."
D."The communicable period ranges from 10 days before the onset of symptoms to 15 days after the rash appears."
The school nurse notes that the child has a rash and suspects that it is caused by erythema infectiosum (fifth disease). The nurse bases this determination on the observation that the rash results in which appearance? A.Rose-pink maculopapules B.Pruritic macule-to-papules C.Pinkish red maculopapules D.A "slapped-face" appearance
D.A "slapped-face" appearance
A topical corticosteroid is prescribed by a health care provider for a child with atopic dermatitis (eczema). Which instruction should the nurse give the parent about applying the cream? A.Apply the cream over the entire body. B.Apply a thick layer of cream to affected areas only. C.Avoid cleansing the area before application of the cream. D.Apply a thin layer of cream and rub it into the area thoroughly.
D.Apply a thin layer of cream and rub it into the area thoroughly.
Permethrin (Elimite) is prescribed for a child with a diagnosis of scabies. The nurse should give which instruction to the parents regarding the use of this treatment? A.Apply the lotion to areas of the rash only. B.Apply the lotion and leave it on for 6 hours. C.Avoid putting clothes on the child over the lotion. D.Apply the lotion to cool, dry skin at least 30 minutes after bathing.
D.Apply the lotion to cool, dry skin at least 30 minutes after bathing.
A mother brings her 4-month-old infant to the well-baby clinic for immunizations. Which immunizations should be administered to this infant? A.Diphtheria, tetanus, acellular pertussis (DTaP), Measles, mumps, rubella (MMR), inactivated poliovirus vaccine (IPV) B.Varicella and hepatitis B vaccines C.MMR, Hib, DTaP D.DTaP, Hib, IPV, pneumococcal vaccine (PCV)
D.DTaP, Hib, IPV, pneumococcal vaccine (PCV)
The mother of a toddler with mumps asks the nurse what she needs to watch for in her child with this disease. The nurse bases the response on the understanding that mumps is which type of communicable disease? A.Skin rash caused by a virus B.Skin rash caused by a bacteria C.Respiratory disease caused by virus involving the lymph nodes D.Respiratory disease caused by a virus involving the parotid gland
D.Respiratory disease caused by a virus involving the parotid gland
A child is brought to a clinic after developing a rash on the trunk and on the scalp. The parents report that the child has had a low-grade fever, has not felt like eating, and has been generally tired. The child is diagnosed with chickenpox. Which statement by the nurse is accurate regarding chickenpox? A.The communicable period is unknown. B.The communicable period ranges from 2 weeks or less up to several months. C.The communicable period is 10 days before the onset of symptoms to 15 days after the rash appears. D.The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions.
D.The communicable period is 1 to 2 days before the onset of the rash to 6 days after the onset and crusting of lesions.
A student with type I diabetes mellitus complains of feeling lightheaded. Her blood sugar is 60 mg/dL. Using the 15/15 rule, the nurse should: A. give 15 mL of juice, and repeat does in 15 minutes B. give 15 grams of carbohydrates and retest blood sugar in 15 minutes C. Give 15 grams of carbohydrates and 15 g of protein D. Give 15 ounces of juice and retest blood sugar in 15 minutes
B. give 15 grams of carbohydrates and retest blood sugar in 15 minutes
Which criterion should the nurse determine are characteristics of scabies? Select all that apply. A.It is caused by a fungal infection. B.It appears as burrows or fine, grayish-red lines. C.It is transmitted by close personal contact with an infected person. D.It is endemic among schoolchildren and institutionalized populations. E.Meticulous skin care and the application of antifungal cream are components of treatment. F.Household members and contacts of the infected child need to be treated at the same time that the child is being treated.
B.It appears as burrows or fine, grayish-red lines. C.It is transmitted by close personal contact with an infected person. D.It is endemic among schoolchildren and institutionalized populations. F.Household members and contacts of the infected child need to be treated at the same time that the child is being treated.
A preschool child who was admitted to the hospital for a minor surgery develops a rash on the second day after hospitalization and is diagnosed with chicken pox (varicella). The nurse should take which action to provide safety for all children on the unit? A.Place only the infected child in isolation. B.Keep siblings from visiting the infected child. C.Place the child and any other children who were exposed in isolation. D.Place the infected child and any immunocompromised children in isolation.
D.Place the infected child and any immunocompromised children in isolation.
The school nurse prepares a list of home care instructions for the parents of school children who have been diagnosed with pediculosis capitis (head lice). Which should be included in the list? Select all that apply. A.Siblings may also need treatment. B.Use antilice sprays on all bedding and furniture. C.Use a pediculicide shampoo and repeat treatment in 14 days. D.Grooming items such as combs and brushes should not be shared. E.Launder all the bedding and clothing in hot water and dry on high heat. F.Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
A.Siblings may also need treatment. D.Grooming items such as combs and brushes should not be shared. E.Launder all the bedding and clothing in hot water and dry on high heat. F.Vacuum floors, play areas, and furniture to remove any hairs that may carry live nits.
The nurse assists with providing an instructional session to parents regarding impetigo. Which statement by a parent indicates the need for further teaching? A."It is extremely contagious." B."It is most common during humid weather." C."Lesions are most often located on the arms and chest." D."It begins in an area of broken skin, such as an insect bite."
C."Lesions are most often located on the arms and chest."
The nurse is preparing to administer a measles, mumps, rubella (MMR) vaccine to a 15-month-old child. Before administering the vaccine, which question should the nurse ask the mother of the child? A."Has the child had any sore throats?" B."Has the child been eating properly?" C."Is the child allergic to any antibiotics?" D."Has the child been exposed to any infections?"
C."Is the child allergic to any antibiotics?"
The nurse obtains a health history from a mother of a 15-month-old child before administering a measles, mumps, and rubella (MMR) vaccine. Which is essential information to obtain before the administration of this vaccine? A.A recent cold B.Allergy to eggs C.The presence of diarrhea D.Any recent ear infections
B.Allergy to eggs
A 6-month-old infant receives a diphtheria, tetanus, and acellular pertussis (DTaP) immunization at the well-baby clinic. The parent returns home and calls the clinic to report that the infant has developed swelling and redness at the site of injection. Which instruction by the nurse is appropriate? A.Monitor the infant for a fever. B.Bring the infant back to the clinic. C.Apply an ice pack to the injection site. D.Leave the injection site alone, because this always occurs.
C.Apply an ice pack to the injection site.
A child is hospitalized with Rocky Mountain spotted fever (RMSF). The health record reveals documentation that the child was bitten by a tick 2 weeks ago. The child presents with complaints of headache, fever, and anorexia, and the nurse notes a rash on the palms of the hands and soles of the feet. The nurse reviews the primary health care provider's prescriptions and anticipates that which medication should be prescribed? A.Ganciclovir B.Amantadine C.Doxycycline D.Amphotericin B
C.Doxycycline
The nurse is reviewing instructions to a parent of a 6-year-old on how to prevent influenza. Which statement by the parent indicates a need for further teaching? A."I will get a flu shot and I will have my child get a flu shot too." B."I will avoid having my child come into contact with sick children." C."I will have my child wash her hands frequently during the flu season." D."I will not let my child play with other children who have the flu unless they are taking acetaminophen
D."I will not let my child play with other children who have the flu unless they are taking acetaminophen
The nurse reviews measures to prevent tick bites with a parent of a child with Rocky Mountain spotted fever. Which statement by the parent indicates a need for further teaching? A."I will have my child wear long sleeves and long pants to keep covered up." B."I will have my child stay on well-worn paths and not stray into tall grass." C."I will check my child for ticks after being exposed to a high-risk tick-infected area." D."I will have my child wear dark colored clothing so the tick will not be attracted to the colors."
D."I will have my child wear dark colored clothing so the tick will not be attracted to the colors."
A nurse is planning care for a child who has tinea capitis(ringworm of the scalp). Which of the following actions should the nurse include in the plan of care. (Select all that apply) A. Treat infected house pets. B. Use selenium sulfide shampoo C. Cleanse area with Burrow solution. D. Administer antiviral medication E. Use moist, warm compresses
A. Treat infected house pets. B. Use selenium sulfide shampoo
The nurse is reinforcing instructions regarding the prevention of Lyme disease to a group of teenagers going on a hike in a wooded area. Which points should the nurse include in the session? Select all that apply. A.Tuck pant legs into socks. B.Wear closed shoes when hiking. C.Apply insect repellent containing DEET. D.Cover the ground with a blanket when sitting. E.Remove attached ticks by grasping with thumb and forefinger. F.Wear long sleeves and long pants in dark colors when in high-risk areas.
A.Tuck pant legs into socks. B.Wear closed shoes when hiking. C.Apply insect repellent containing DEET. D.Cover the ground with a blanket when sitting.
A mother brings her child to the health care clinic because the child has developed lesions located around the mouth and nose, and mild impetigo is diagnosed. The nurse reinforces instructions to the mother regarding care of the child. Which statement by the mother indicates the need for further teaching? A."The impetigo is extremely contagious." B."My child will need to be treated with oral antibiotics." C."The crusts on the lesions need to be soaked and carefully removed." D."The lesions should be washed gently three times a day with a warm, soapy washcloth."
B."My child will need to be treated with oral antibiotics."
The nurse reinforces instructions regarding the use of permethrin 1% to the parents of a child who has been diagnosed with pediculosis capitis. Which statements by the parents indicate they understand the instructions? Select all that apply. A."We will need to apply another application in 48 hours." B."The hair should not be shampooed for 24 hours after treatment." C."The medication can be obtained over the counter in a local pharmacy." D."The medication is applied to the hair after shampooing and left on for 24 hours." E."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out."
B."The hair should not be shampooed for 24 hours after treatment." C."The medication can be obtained over the counter in a local pharmacy." E."The medication is applied to the hair after shampooing, left on for 5 to 10 minutes, and then rinsed out."
The nurse is caring for a hospitalized child with a diagnosis of rubella (German measles). The nurse reviews the primary health care provider's progress notes and reads that the child has developed Forchheimer sign. Based on this documentation, which should the nurse expect to note in the child? A.Swelling of the parotid gland B.Petechiae spots located on the palate C.A fiery red edematous rash on the cheeks D.Small blue-white spots noted on the buccal mucosa
B.Petechiae spots located on the palate
A nurse is teaching a parent of a child who has pediculosis capitis (head lice). Which of the following instructions should the nurse include in the teaching? A. Apply mayonnaise to the affected area at night. B. Treat all household pets. C. Use an over the counter medication containing 1% permethrin. D. Discard the childs stuffed animals
C. Use an over the counter medication containing 1% permethrin
The school nurse is conducting pediculosis capitis (head lice) assessments. Which finding indicates a child has a "positive" head check? A.Maculopapular lesions behind the ears B.Lesions in the scalp that extend to the hairline or neck C.White flaky particles throughout the entire scalp region D.White sacs attached to the hair shafts in the occipital area
D.White sacs attached to the hair shafts in the occipital area
A nurse is caring for a child who has contact dermatitis due to poison ivy. Which of the following actions should the nurse take? (Select all that apply) A. Remove the clothing over the rash. B. Initiate contact isolation precautions while the rash is present. C. Expose the rash to a heat lamp for 15 minutes. D. Cleanse the affected skin with hydrogen peroxide solution. E. Apply calamine lotion to the skin
A. Remove the clothing over the rash. E. Apply calamine lotion to the skin
