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A nurse is reinforcing teaching about pediculus capitis with the parents of a school-age child at a well-child visit. Which of the following Information should the nurse include?
- A. Lice can jump from one child to another.
- B. Washing your child's hair daily will prevent lice.
- C. Lice do not survive away from the host.
- D. Encourage your child to avoid sharing hats with other children.
Correct Answer: D
Rationale: Sharing hats or other personal items can facilitate the transmission of lice from one child to another.
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A nurse is attempting to obtain information from a child who is hearing impaired. Which of the following actions should the nurse take?
- A. Stand above the child's eye level when speaking.
- B. Talk directly into the child's impaired ear.
- C. Speak loudly to the child.
- D. Speak slowly while facing the child.
Correct Answer: D
Rationale: Speaking slowly and facing the child ensures that they can read lips and facial expressions.
A nurse in a pediatric clinic is talking with a parent of a toddler. The parent tells the nurse that her toddler drinks a quart of milk a day. The nurse should recognize that the toddler is at risk for which of the following disorders?
- A. Beriberi
- B. Dehydration
- C. Diabetes mellitus
- D. Iron-deficiency anemia
Correct Answer: D
Rationale: Excessive milk can lead to iron-deficiency anemia because milk is low in iron and can interfere with iron absorption from other foods.
A nurse is collecting data from an infant who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?
- A. Absent plantar reflexes
- B. Inwardly turned foot on the affected side
- C. Asymmetric thigh folds
- D. Lengthened thigh on the affected side
Correct Answer: C
Rationale: Asymmetric thigh folds is a common finding in DDH.
A nurse is caring for an 8-month-old infant who is receiving intravenous (IV) fluids via a 24-gauge catheter. Which of the following statements by the client's mother indicates that the nurse should check the site for signs of infiltration?
- A. My baby's fingers are looking swollen.
- B. The tape is coming off the IV needle.
- C. There's blood backing up my baby's IV tubing.
- D. There's a long red streak up my baby's arm.
Correct Answer: A
Rationale: Swelling around the IV site can indicate infiltration where IV fluids leak into surrounding tissues.
A nurse is caring for a school-age child who has a fracture to the right femur. Which of the following findings is the nurse's priority?
- A. Capillary refill less than 2 seconds
- B. Tingling in the right foot
- C. 2+ right pedal pulse
- D. Respiratory rate 24/min
Correct Answer: B
Rationale: Tingling (paraesthesia) can be a sign of nerve damage or compromised circulation which may indicate complications such as compartment syndrome. This is a priority finding because it can lead to severe consequences if not addressed promptly.