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During a well-baby exam, a nurse finds that a 2-month-old's right testicle is not descended into the scrotum, but the left one is palpable. What should the nurse do?
- A. Ask if the right testis has been seen in the scrotum before
- B. Address potential concerns about future fertility
- C. Schedule an ultrasound to confirm the position of the testicle
- D. Prepare to obtain a urine specimen for culture
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The caregiver is caring for a 3-year-old child with a diagnosis of gastroenteritis. The child has had several episodes of vomiting and diarrhea over the past 24 hours. What is the caregiver's priority assessment?
- A. Monitor the child's weight
- B. Assess the child's hydration status
- C. Evaluate the child's nutritional intake
- D. Check the child's temperature
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What action should be taken by the healthcare provider for a child who has ingested a corrosive product?
- A. Induce vomiting using Ipecac to remove the corrosive agent.
- B. Administer vinegar or lemon juice to neutralize the caustic agent.
- C. Give activated charcoal to decontaminate the stomach.
- D. Telephone the poison control center and follow their advice.
Correct Answer: D
Rationale: In cases of corrosive product ingestion, it is crucial to contact the poison control center for guidance. Inducing vomiting or attempting to neutralize the agent can lead to further harm. The poison control center professionals are trained to provide specific instructions tailored to the situation, ensuring the best possible outcome for the child.
A 3-year-old with HIV infection is staying with a foster family who is caring for 3 other foster children in their home. When one of the children acquires pertussis, the foster mother calls the clinic and asks the nurse what she should do. Which action should the nurse take first?
- A. Remove the child who has HIV from the foster home.
- B. Report the exposure of the child with HIV to the health department.
- C. Place the child who has HIV in reverse isolation.
- D. Review the immunization documentation of the child who has HIV.
Correct Answer: D
Rationale: The priority action for the nurse is to review the immunization documentation of the child with HIV to ensure they have received the necessary vaccines. This step is crucial in protecting the child's health and preventing further complications from vaccine-preventable diseases like pertussis. It is important to verify the child's immunization status before considering other interventions.
An adolescent's mother calls the primary HCP's office to inquire about the results of her daughter's serum test that was drawn last week. Since it is the teenager's 18th birthday, how should the nurse respond to this mother's inquiry?
- A. Ask when the adolescent was last seen at the clinic
- B. Tell the mother to have the teenager call the clinic
- C. Provide the mother with the findings
- D. Explain that the information cannot be released without the 18-year-old's permission
Correct Answer: D
Rationale: When an individual turns 18, they are legally considered an adult, and privacy laws mandate that their consent is required before sharing their medical information with others. It is important to respect the adolescent's autonomy and privacy rights by explaining to the mother that the information cannot be disclosed without the 18-year-old's permission.
A mother brings her 2-year-old son to the clinic because he has been crying and pulling on his earlobe for the past 12 hours. The child's oral temperature is 101.2°F. Which intervention should the nurse implement?
- A. Ask the mother if the child has had a runny nose
- B. Cleanse purulent exudate from the affected ear canal
- C. Apply a topical antibiotic to the periauricular area
- D. Provide parent education to prevent recurrence
Correct Answer: A
Rationale: In a child presenting with ear pain and fever, asking if the child has had a runny nose is crucial in assessing for possible ear infection causes. Respiratory infections can lead to secondary ear infections, so exploring symptoms related to upper respiratory tract infections, like a runny nose, can help in the evaluation and management of the child's condition.