Nokea
A parent asks, 'Can I get head lice too?' The nurse indicates that adults can also be infested with head lice but that pediculosis is more common among school children, primarily for which of the following reasons?
- A. An immunity to pediculosis usually is established by adulthood.
- B. School-age children tend to be more neglectful of frequent handwashing.
- C. Pediculosis usually is spread by close contact with infested children.
- D. The skin of adults is more capable of resisting the invasion of lice.
Correct Answer: C
Rationale: Close contact in school settings facilitates lice transmission among children.
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Which of the following statements by the mother of a toddler diagnosed with nephrotic syndrome indicates that the mother has understood the nurse's teaching about this disease?
- A. My child really likes chips and bologna. I guess we'll have to find something else.
- B. We'll have to encourage lots of liquids. Did you say about 4 liters every day?
- C. We worry about the surgery. Do you think we should do direct donation of blood?
- D. We understand the need for antibiotics. I just wish the antibiotics could be given by mouth.
Correct Answer: A
Rationale: Shows understanding of dietary restrictions.
An adolescent female is prescribed amoxicillin for an ear infection. The nurse should teach the adolescent about the risks associated with her concurrent use of:
- A. Antacids.
- B. Oral contraceptives.
- C. Multiple vitamins.
- D. Protein shakes.
Correct Answer: B
Rationale: Amoxicillin can reduce the effectiveness of oral contraceptives, increasing the risk of unintended pregnancy. The nurse should educate the adolescent about this interaction and suggest additional contraceptive measures during antibiotic therapy.
When teaching the mother of an infant who has undergone surgical repair of a cleft lip how to care for the suture line, the nurse demonstrates how to remove formula and drainage. Which of the following solutions should the nurse use?
- A. Mouthwash.
- B. Povidone-iodine (Betadine) solution.
- C. A mild antiseptic solution.
- D. Half-strength hydrogen peroxide.
Correct Answer: D
Rationale: Half-strength hydrogen peroxide is gentle and effective for cleaning the suture line without irritating the delicate tissue.
When developing the teaching plan for parents using the Pavlik harness with their child, what should be the nurse's initial step?
- A. Assessing the parents' current coping strategies.
- B. Determining the parents' knowledge about the device.
- C. Providing the parents with written instructions.
- D. Giving the parents a list of community resources.
Correct Answer: B
Rationale: Determining the parents' knowledge about the Pavlik harness is the initial step to tailor teaching to their understanding and needs.
On a home visit following discharge from the hospital after treatment for severe gastroenteritis, the mother tells the nurse that her toddler answers "No!" and is difficult to manage. After discussing this further with the mother, the nurse explains that the child's behavior is most likely the result of which of the following?
- A. Beginning leadership skills.
- B. Inherited personality trait.
- C. Expression of individuality.
- D. Usual lack of interest in everything.
Correct Answer: C
Rationale: Toddlers often assert independence through oppositional behavior.