Nokea
A parent receives a note from the school that a student in class has head lice. The parent calls the school nurse to ask how to check for head lice. What instructions should the nurse provide?
- A. Ask the child where it itches.
- B. Check to see if your dog has ear mites.
- C. Look along the scalp line for white dots.
- D. Observe between the fingers for red lines.
Correct Answer: C
Rationale: The correct answer is to look along the scalp line for white dots (nits) when checking for head lice. White dots are indicative of head lice infestation. Itching alone, as mentioned in choice A, is not a reliable indicator of head lice. Choice B is irrelevant as it refers to checking for ear mites in a dog, not head lice in a human. Observing between the fingers for red lines, as in choice D, is not a method to check for head lice.
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A 2-year-old child with a diagnosis of hemophilia is admitted to the hospital. What should the nurse include in the care plan?
- A. Encourage participation in contact sports
- B. Use a soft toothbrush for oral care
- C. Administer nonsteroidal anti-inflammatory drugs
- D. Administer aspirin for pain
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A newborn with an anorectal anomaly had an anoplasty performed. At the 2-week follow-up visit, a series of anal dilations are begun. What should the nurse recommend to the parents to help prevent the infant from becoming constipated?
- A. Use a soy formula.
- B. Breastfeed if possible.
- C. Administer a suppository nightly.
- D. Offer glucose water between feedings.
Correct Answer: B
Rationale: Breastfeeding is the best recommendation to help prevent constipation in infants. Breast milk is easily digestible and contains the right balance of nutrients, which can lead to softer stools, thus reducing the likelihood of constipation. Offering a soy formula (Choice A) may not necessarily prevent constipation as effectively as breast milk due to differences in nutrient composition. Administering a suppository nightly (Choice C) is not a routine measure for preventing constipation in infants and may not be suitable for regular use in this scenario. Offering glucose water (Choice D) between feedings is not recommended as it does not provide the necessary nutrients found in breast milk, which are essential for preventing constipation and promoting overall health in newborns.
A child with a diagnosis of leukemia is receiving chemotherapy. What is the priority nursing intervention?
- A. Monitoring for signs of infection
- B. Providing nutritional support
- C. Monitoring for signs of bleeding
- D. Monitoring for signs of pain
Correct Answer: A
Rationale: The priority nursing intervention for a child with leukemia receiving chemotherapy is monitoring for signs of infection. Chemotherapy can suppress the immune system, increasing the risk of infections. Detecting and managing infections promptly is crucial to prevent complications and improve outcomes. Providing nutritional support is important, but infection prevention takes precedence due to the immediate threat it poses to the child's health. Monitoring for signs of bleeding is relevant in leukemia due to decreased platelet count, but infection surveillance is more critical. Monitoring for signs of pain is essential, but addressing infections promptly is the priority to prevent further deterioration in the child's condition.
Where should the child admitted with injuries that may be related to abuse be placed?
- A. In a private room
- B. With an older, friendly child
- C. With a child of the same age
- D. In a room near the nurses' desk
Correct Answer: D
Rationale: The correct answer is to place the child in a room near the nurses' desk. This placement allows for close monitoring of the child's condition and facilitates quick intervention if necessary. Placing the child in a private room (Choice A) may not provide the necessary level of oversight in cases of suspected abuse. Additionally, placing the child with an older, friendly child (Choice B) or a child of the same age (Choice C) may not be appropriate due to the need for careful monitoring and protection in cases of potential abuse.
A child has been admitted to the pediatric unit with a severe asthma attack. What type of acid-base imbalance should the nurse expect the child to develop?
- A. metabolic alkalosis due to insufficient production of acid metabolites
- B. respiratory alkalosis due to depressed respirations and retention of carbon dioxide
- C. respiratory acidosis due to impaired respirations and increased formation of carbonic acid
- D. metabolic acidosis due to the kidneys' inability to compensate for decreased carbonic acid formation
Correct Answer: C
Rationale: In a severe asthma attack, the child is likely to develop respiratory acidosis. This occurs due to impaired respirations, leading to the retention of carbon dioxide and the formation of carbonic acid. Choice A is incorrect as metabolic alkalosis is not expected in this situation. Choice B is incorrect as respiratory alkalosis does not align with the scenario of impaired respirations in severe asthma attacks. Choice D is also incorrect as it describes metabolic acidosis, which is not typically associated with severe asthma attacks.