Nokea
A toddler has a deep laceration contaminated with dirt and sand. Before closing the wound, the nurse should irrigate with what solution?
- A. Alcohol
- B. Normal saline
- C. Povidone-iodine
- D. Hydrogen peroxide
Correct Answer: B
Rationale: Normal saline is the safest and most effective solution for irrigating open wounds as it cleans without causing tissue damage. Alcohol is too harsh, povidone-iodine is contraindicated for fresh wounds due to cytotoxicity, and hydrogen peroxide can cause subcutaneous gas formation under pressure.
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Descriptions of young people with anorexia nervosa (AN) often include which criteria?
- A. Impulsive
- B. Extroverted
- C. Perfectionist
- D. Low achieving
Correct Answer: C
Rationale: Individuals with AN are often perfectionists, striving for control and high academic achievement. Impulsivity and extroversion are more characteristic of bulimia nervosa, not AN.
What behavior is the nurse most likely to assess in an adolescent with anorexia nervosa (AN)?
- A. Eats in secrecy
- B. Uses food as a coping mechanism
- C. Has a marked preoccupation with food
- D. Lacks awareness of how eating affects weight loss
Correct Answer: C
Rationale: Individuals with AN are preoccupied with food, often preparing it for others or hoarding it while eating minimally. Secret eating and using food as a coping mechanism are typical of bulimia nervosa, and those with AN are aware of calorie intake?s impact.
The middle school nurse is planning a behavior modification program for overweight children. What is the most important goal for participants of the program?
- A. Learn how to cook low-fat meals.
- B. Improve relationships with peers.
- C. Identify and eliminate inappropriate eating habits.
- D. Achieve normal weight during the program.
Correct Answer: C
Rationale: Identifying and eliminating inappropriate eating habits is the core of behavior modification, addressing root causes of obesity. Cooking skills are secondary, peer relationships are not the focus, and normal weight is a long-term goal.
The management of a child who has just been stung by a bee or wasp should include applying what?
- A. Cool compresses
- B. Antibiotic cream
- C. Warm compresses
- D. Corticosteroid cream
Correct Answer: A
Rationale: Cool compresses reduce swelling and pain from bee or wasp stings. Antibiotic cream is unnecessary unless infection occurs, warm compresses are not recommended, and corticosteroid cream is not part of initial treatment unless a severe reaction occurs.
During a well-child visit, the nurse practitioner provides guidance about promoting healthy eating in a child who is overweight. What does the nurse advise?
- A. Slow down eating meals.
- B. Avoid between-meal snacks.
- C. Include low-fat foods in meals.
- D. Use foods that child likes as special treats.
Correct Answer: A
Rationale: Slowing down eating helps recognize fullness, preventing overeating. Snacks maintain stable hunger, low-fat foods may be high-calorie, and using food as treats promotes unhealthy eating habits.