Nokea
What should the nurse suggest before a 17-year-old girl starts a protocol of isotretinoin (Accutane) for her acne?
- A. Get a prescription for oral contraceptives.
- B. Increase the dose of the present medication.
- C. Limit intake of chocolate, cola, and peanuts.
- D. Increase exposure to sunlight.
Correct Answer: A
Rationale: Isotretinoin poses a risk of birth defects, so oral contraceptives are recommended to prevent pregnancy during treatment.
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What is the correct nursing response to a mother who asks, 'How can I get rid of the baby's cradle cap?'
- A. Rub baby oil on the infant's head at night and shampoo the hair the next morning.'
- B. Use a brush with firm bristles to loosen the scales on the baby's head several times a day.'
- C. Wash the baby's head every night with a dandruff-control shampoo.'
- D. Lubricate the baby's head every morning with a small amount of olive oil.'
Correct Answer: A
Rationale: Applying baby oil at night and shampooing the next morning softens and removes cradle cap scales effectively.
What should the nurse keep in mind when providing care to the school-age child hospitalized with a burn injury?
- A. Hospitalization will be brief.
- B. Analgesics should be given immediately after dressing changes.
- C. Contact with peers should be maintained.
- D. Parents usually handle injury worse than the child.
Correct Answer: C
Rationale: Maintaining peer contact supports the emotional well-being of a school-age child during prolonged burn-related hospitalization.
What is the nurse aware is the minimum adequate hourly urine output?
- A. 5 mL/hr
- B. 10 mL/hr
- C. 15 mL/hr
- D. 20 mL/hr
Correct Answer: D
Rationale: For children over 2 years, a minimum urine output of 20-30 mL/hr indicates adequate renal perfusion in burn patients.
Which factor(s) activate the herpes simplex virus type I?
- A. Stress
- B. Sun
- C. Menses
- D. Fever
- E. Food allergies
Correct Answer: A,B,C,D
Rationale: Stress, sun exposure, menses, and fever can trigger herpes simplex virus type I, leading to cold sores.
What information can the nurse provide to the mother to start eradication of the lice?
- A. Cover the hair with Vaseline.
- B. Apply a soda-vinegar solution to the hair.
- C. Comb through the hair with a vinegar-water solution.
- D. Shampoo the hair with dish detergent.
Correct Answer: C
Rationale: Combing with a vinegar-water solution and a fine-tooth comb, followed by shampooing, is an effective initial step for lice eradication.