Nokea
A new mother asks the clinic nurse if she must continue giving her baby nystatin for thrush since the white lesions on his tongue have disappeared. What response by the nurse is most appropriate?
- A. No. When the lesions have gone you may stop the nystatin.
- B. Yes. You should continue it for the full 7 days.
- C. No. Thrush is a self-limiting disorder and nystatin is given for comfort only.
- D. Yes. The medication should be refilled for a second week of therapy.
Correct Answer: B
Rationale: Nystatin should be given for the full 7 days even if the lesions are no longer present.
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What are the clinical manifestations of otitis media?
- A. Earache, wheezing, vomiting
- B. Coughing, rhinorrhea, headache
- C. Fever, irritability, pulling on ear
- D. Wheezing, cough, drainage in ear canal
Correct Answer: C
Rationale: Clinical manifestations of otitis media include fever, irritability, and pulling on the ear.
What other congenital defects are common in children with Down syndrome?
- A. Hypospadias
- B. Pyloric stenosis
- C. Heart defects
- D. Hip dysplasia
Correct Answer: C
Rationale: Many children with Down syndrome have congenital heart defects.
Following a bout of diarrhea, which foods should be offered to the school-age child?
- A. Apricots and peaches
- B. Chocolate milk
- C. Applesauce and milk
- D. Bananas and rice
Correct Answer: D
Rationale: When rehydration has been completed, foods that are nonirritating to the bowel should be offered to the child. Bananas and rice would be the least irritating to the bowel, as fruits and milk could cause GI irritation.
What is the main characteristic of cystic fibrosis?
- A. Multiple upper respiratory infections
- B. An underproduction of exocrine glands
- C. Excessive, thick mucus
- D. An overproduction of thin mucus
Correct Answer: C
Rationale: The pathophysiology of cystic fibrosis includes excessive, thick mucus.
The nurse instructs the parents of a child who has had a myringotomy to place the child in which position?
- A. Supine
- B. On the affected side
- C. On the unaffected side
- D. In a Trendelenburg's position
Correct Answer: B
Rationale: Lying on the affected side facilitates ear drainage following a myringotomy.