Nokea
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.
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Deficiency of which vitamin or mineral results in an inadequate inflammatory response?
- A. A
- B. B1
- C. C
- D. Zinc
Correct Answer: A
Rationale: A deficiency of vitamin A results in an inadequate inflammatory response. Vitamin A is essential for maintaining immune function and epithelial integrity, which are critical for an effective inflammatory response. Deficiencies of vitamins B1 and C impair collagen formation, necessary for wound healing, while a zinc deficiency leads to impaired epithelialization, affecting tissue repair rather than the inflammatory response.
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.
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.
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.
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.