Nokea
Parents phone the nurse and say that their child just knocked out a permanent tooth. What should the nurses instructions to the parents include?
- A. Place the tooth in a dry container for transport.
- B. Hold the tooth by the crown and not by the root area.
- C. Transport the child and tooth to a dentist within 18 hours.
- D. Take the child to hospital emergency department if his or her mouth is bleeding.
Correct Answer: B
Rationale: Holding the tooth by the crown prevents damage to the root, which is critical for reimplantation. The tooth should be kept moist in milk or saline, seen by a dentist immediately, and bleeding is expected but not the primary reason for emergency care.
You may also like to solve these questions
A school-age child has been bitten on the leg by a large snake that may be poisonous. During transport to an emergency facility, what should the care include?
- A. Apply ice to the snakebite.
- B. Immobilize the leg with a splint.
- C. Place a loose tourniquet distal to the bite.
- D. Apply warm compresses to the snakebite.
Correct Answer: B
Rationale: Immobilizing the leg with a splint minimizes venom spread by reducing movement. Ice reduces blood flow, potentially trapping venom, a tourniquet should be proximal if used, and warm compresses increase circulation, spreading the venom.
An adolescent girl calls the nurse at the clinic because she had unprotected sex the night before and does not want to be pregnant. What should the nurse explain?
- A. It is too late to prevent an unwanted pregnancy.
- B. An abortion may be the best option if she is pregnant.
- C. The risk of pregnancy is minimal, so no action is necessary.
- D. Postcoital contraception is available to prevent implantation and therefore pregnancy.
Correct Answer: D
Rationale: Emergency contraception like Plan B, if taken within 72 hours, can prevent pregnancy by inhibiting implantation. It?s not too late, abortion isn?t immediately necessary, and pregnancy risk varies but warrants action.
During a well-child visit, the nurse plots the childs BMI on the health record. What is the purpose of the BMI?
- A. To determine medication dosages
- B. To predict adult height and weight
- C. To identify coping strategies used by the child
- D. To provide a consistent measure of obesity
Correct Answer: D
Rationale: BMI provides a standardized measure to assess obesity by comparing body weight to height, guiding interventions. It?s not used for medication dosages, height prediction, or coping strategies.
An adolescent girl is brought to the hospital emergency department by her parents after being raped. The girl is calm and controlled throughout the interview and examination. The nurse should recognize this behavior is what?
- A. A sign that a rape has not actually occurred
- B. One of a variety of behaviors normally seen in rape victims
- C. Indicative of a higher than usual level of maturity in the adolescent
- D. Suggestive that the adolescent had severe emotional problems before the rape occurred
Correct Answer: B
Rationale: Rape victims exhibit varied responses, including calm behavior, which may mask inner turmoil. This is a normal coping mechanism, not indicative of the event?s validity, maturity, or pre-existing emotional issues.
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.