Nokea
An adolescent tells the school nurse that she would like to use tampons during her period. The nurse should first:
- A. Assess her usual menstrual flow pattern.
- B. Determine whether she is sexually active.
- C. Provide information about preventing toxic shock syndrome.
- D. Refer her to a specialist in adolescent gynecology.
Correct Answer: C
Rationale: Educating about toxic shock syndrome is critical due to the risk associated with tampon use.
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The nurse is teaching the parents of an infant with pyloric stenosis about postoperative care. Which instruction should be included?
- A. Resume regular formula immediately.
- B. Monitor for projectile vomiting.
- C. Keep the incision site covered with a bandage.
- D. Administer pain medication every 6 hours.
Correct Answer: B
Rationale: Monitoring for projectile vomiting ensures early detection of surgical complications.
Which of the following would be most appropriate for the nurse to teach the mother of a 6-month-old infant hospitalized with severe diarrhea to help her comfort her infant who is fussy?
- A. Offering a pacifier.
- B. Placing a mobile above the crib.
- C. Sitting at crib side talking to the infant.
- D. Turning the television on to cartoons.
Correct Answer: A
Rationale: A pacifier provides non-nutritive sucking, soothing a fussy infant.
A 7-year-old child with a history of asthma controlled without medications is referred to the school nurse by the teacher because of persistent coughing. Which of the following should the nurse do first?
- A. Obtain the child's heart rate.
- B. Give the child a nebulizer treatment.
- C. Call a parent to obtain more information.
- D. Have a parent come and pick up the child.
Correct Answer: C
Rationale: Calling a parent to obtain more information is the first step to clarify the child's asthma history, recent symptoms, and any prescribed medications, ensuring appropriate management of the persistent coughing.
When assessing the development of a 15-month-old child with cerebral palsy, which of the following milestones should the nurse expect a toddler of this age to have achieved?
- A. Walking up steps.
- B. Using a spoon.
- C. Copying a circle.
- D. Putting a block in cup.
Correct Answer: D
Rationale: A 15-month-old typically can put a block in a cup, a milestone achievable even with motor challenges from cerebral palsy, unlike the other options which require more advanced skills.
When teaching the parents of a child with Salmonella gastroenteritis about preventing recurrence, which instruction should the nurse include?
- A. Avoid sharing toys with other children.
- B. Cook poultry to an internal temperature of 165°F.
- C. Use hand sanitizers before meals.
- D. Limit fluid intake during meals.
Correct Answer: B
Rationale: Cooking poultry thoroughly prevents Salmonella contamination.