Nokea
Griseofulvin (Grisactin) was ordered to treat a child's ringworm of the scalp. The nurse instructs the parents to use the medication for several weeks for which of the following reasons?
- A. A sensitivity to the drug is less likely if it is used over a period of time.
- B. Fewer side effects occur as the body slowly adjusts to a new substance over time.
- C. Fewer allergic reactions occur if the drug is maintained at the same level long-term.
- D. The growth of the causative organism into new cells is prevented with long-term use.
Correct Answer: D
Rationale: Long-term use of griseofulvin ensures eradication of the fungus by inhibiting its growth.
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A 14-year-old has just had a plaster cast placed on his lower left leg. To provide safe cast care, the nurse should?
- A. Petal the cast as soon as it is put on.
- B. Keep the child in the same position for 24 hours until the cast is dry.
- C. Use only the palms of the hand when handling the cast.
- D. Notify the physician if the client complains of heat.
Correct Answer: C
Rationale: Using only the palms prevents indentations in the wet cast, which could cause pressure points or alter the cast's shape.
A child with nephrosis is taking prednisone. The nurse should teach the caregivers to report which of the following adverse effects? Select all that apply.
- A. Increased urinary output.
- B. Hematemesis.
- C. Respiratory infection.
- D. Bleeding gums.
- E. Vision problems.
Correct Answer: B,C,D,E
Rationale: These symptoms indicate potential complications.
Which of the following statements by the mother of an 18-month-old child should indicate to the nurse that the child needs laboratory testing for lead levels?
- A. My child does not always wash after playing outside.
- B. My child drinks 2 cups of milk every day.
- C. My child has more temper tantrums than other kids.
- D. My child is smaller than other kids of the same age.
Correct Answer: A
Rationale: Not washing after outdoor play increases lead exposure risk from contaminated soil or dust, warranting testing. Milk intake, tantrums, and size are not specific indicators.
A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?
- A. Vocalizing single syllables.
- B. Standing alone.
- C. Building a tower of two cubes.
- D. Drinking from a cup with little spilling.
Correct Answer: C
Rationale: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.
A 5-year-old child with burns on the trunk and arms has no appetite. The nurse and mother develop a plan of care to stimulate the child's appetite. Which of the following suggestions made by the mother would indicate that she needs additional teaching?
- A. Deciding that she will feed the child herself.
- B. Withholding dessert and treats unless meals are eaten.
- C. Offering the child finger foods that the child likes.
- D. Serving smaller and more frequent meals.
Correct Answer: B
Rationale: Withholding desserts can create negative associations with eating, reducing appetite. Feeding assistance, finger foods, and smaller meals are appropriate to encourage intake in a burn patient with high metabolic needs.