Nokea
What should the nurse include when teaching an adolescent about tinea pedis?
- A. Keep your feet moist and open to the air as much as possible.
- B. Dry the area between your toes thoroughly.
- C. Wear nylon or synthetic socks every day.
- D. Go barefoot when you are in the school locker room.
Correct Answer: B
Rationale: The correct way to prevent tinea pedis is by keeping the feet dry, especially between the toes, to decrease the risk of fungal infection. Choice A is incorrect as keeping the feet moist can promote fungal growth. Choice C is incorrect because nylon or synthetic socks can trap moisture, contributing to the growth of fungi. Choice D is incorrect as going barefoot in public, especially in areas like locker rooms, increases the risk of contracting tinea pedis.
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A nurse is assessing a child with suspected rotavirus infection. What clinical manifestation is the nurse likely to observe?
- A. Abdominal pain
- B. Diarrhea
- C. Constipation
- D. Vomiting
Correct Answer: B
Rationale: The correct answer is B: Diarrhea. Rotavirus infection commonly presents with symptoms such as watery diarrhea, vomiting, fever, and abdominal pain. While abdominal pain and vomiting are also associated with rotavirus infection, diarrhea is a hallmark feature. Constipation is not typically seen in cases of rotavirus infection. Therefore, the most likely clinical manifestation that the nurse would observe in a child with suspected rotavirus infection is diarrhea.
A nurse is teaching the parents of a child with a diagnosis of epilepsy about seizure precautions. What should the nurse include in the teaching?
- A. Keep a diary of seizure activity
- B. Administer antiepileptic medication only when a seizure occurs
- C. Restrict the child's activities to prevent seizures
- D. Teach seizure first aid to family members
Correct Answer: D
Rationale: Teaching seizure first aid to family members is essential as it empowers them to respond effectively during a seizure. Keeping a diary of seizure activity is important for tracking patterns and triggers but is not directly related to immediate safety. Administering antiepileptic medication only when a seizure occurs is not recommended as medications should be administered as prescribed by healthcare providers. Restricting the child's activities to prevent seizures is not appropriate as children with epilepsy should be encouraged to lead active lives while taking necessary precautions.
Why should the nurse closely monitor the IV flow rate for a 5-month-old infant with severe diarrhea receiving IV fluids?
- A. Limiting output
- B. Replacing lost fluids
- C. Avoiding IV infiltration
- D. Preventing cardiac overload
Correct Answer: D
Rationale: The correct answer is D: Preventing cardiac overload. Infants are highly vulnerable to fluid overload, making it essential to carefully monitor IV flow rates to prevent complications such as cardiac overload. Rapid administration of IV fluids can lead to an excessive increase in circulating volume, potentially causing cardiac strain or heart failure in infants. Choices A, B, and C are incorrect. Monitoring the IV flow rate is not primarily aimed at limiting output, replacing lost fluids, or avoiding IV infiltration in this scenario. The key concern is to prevent the risk of cardiac overload due to the infant's susceptibility to fluid imbalances.
During a nap, a 3-year-old hospitalized child wets the bed. How should the nurse respond?
- A. Ask the child to help with remaking the bed.
- B. Put clean sheets on the bed over a rubber sheet.
- C. Change the child's clothes without discussing the incident.
- D. Explain that children should call the nurse when they need to go to the bathroom.
Correct Answer: C
Rationale: When a 3-year-old hospitalized child wets the bed during a nap, the nurse should respond by changing the child's clothes without discussing the incident. This approach helps to maintain the child's dignity, avoid embarrassment, and reduce anxiety about bedwetting. Asking the child to help remake the bed (Choice A) may not be developmentally appropriate for a 3-year-old and could potentially lead to further distress. Putting clean sheets on the bed over a rubber sheet (Choice B) addresses the aftermath but does not directly address the child's needs and feelings. Explaining that children should call the nurse when they need to go to the bathroom (Choice D) may not be effective in this situation as the child may not have control over bedwetting during sleep.
A 6-year-old child with asthma is admitted to the hospital with an acute exacerbation. What is the priority nursing intervention?
- A. Administering a bronchodilator
- B. Administering an antihistamine
- C. Administering a corticosteroid
- D. Administering oxygen
Correct Answer: A
Rationale: Administering a bronchodilator is the priority intervention for a child experiencing an acute asthma exacerbation. Bronchodilators help to dilate the airways, making breathing easier and relieving acute symptoms of asthma. Antihistamines are not the first-line treatment for asthma exacerbations; they are more commonly used for allergic reactions. Corticosteroids are beneficial in reducing inflammation in asthma but are usually administered after bronchodilators to provide long-term control. Oxygen therapy may be necessary in severe cases of asthma exacerbation, but bronchodilators take precedence in improving airway patency and respiratory distress.