What would be important for the nurse to include when teaching an adolescent about tinea pedis?
- A. Keep your feet moist and exposed to the air as much as possible.
- B. Dry the area between your toes thoroughly.
- C. Wear nylon or synthetic socks every day.
- D. Walk barefoot in the school locker room.
Correct Answer: B
Rationale: The correct answer is B: 'Dry the area between your toes thoroughly.' When educating an adolescent about tinea pedis, emphasis should be placed on keeping the feet dry, especially between the toes, to minimize the risk of fungal infection. Choice A is incorrect as keeping the feet moist can exacerbate the condition. Choice C is incorrect because nylon or synthetic socks can trap moisture, promoting fungal growth. Choice D is incorrect as walking barefoot in locker rooms increases the risk of contracting tinea pedis from contaminated surfaces.
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An infant is diagnosed with Hirschsprung disease. What nursing intervention is essential before surgery?
- A. Administering antibiotics
- B. Ensuring bowel rest
- C. Performing regular enemas
- D. Maintaining NPO status
Correct Answer: D
Rationale: Maintaining NPO (nothing by mouth) status is essential before surgery for a patient with Hirschsprung disease to prevent aspiration. Administering antibiotics, ensuring bowel rest, and performing regular enemas are not the priority interventions before surgery for this condition. Administering antibiotics may be necessary in the postoperative period to prevent infection, ensuring bowel rest can be beneficial but is not the priority, and performing regular enemas is not typically recommended before surgery for Hirschsprung disease.
A healthcare provider is assessing a child with suspected bacterial meningitis. What is a common clinical manifestation that the provider is likely to observe?
- A. Rash
- B. Photophobia
- C. Jaundice
- D. Kernig sign
Correct Answer: D
Rationale: A common clinical manifestation of bacterial meningitis is a positive Kernig sign, which indicates meningeal irritation. Kernig sign is elicited when the leg is bent at the hip and knee at 90-degree angles, and pain and resistance are felt with extension at the knee due to inflamed meninges. Options A, B, and C are not typically associated with bacterial meningitis. A rash is more commonly seen in viral illnesses, photophobia can be present but is not specific to bacterial meningitis, and jaundice is not a typical clinical manifestation of this condition.
Based on developmental norms for a 5-year-old child, at what apical pulse did the nurse decide to withhold a scheduled dose of digoxin (Lanoxin) elixir and notify the health care provider?
- A. 60 beats/min
- B. 70 beats/min
- C. 90 beats/min
- D. 100 beats/min
Correct Answer: C
Rationale: For a 5-year-old child, an apical pulse below 90 beats/min is a reason to withhold digoxin. Digoxin is a medication commonly used to treat heart conditions, and its administration is based on heart rate parameters. A pulse rate below 90 beats/min indicates bradycardia. In pediatric patients, bradycardia below this threshold may be a sign of toxicity or potential adverse effects of digoxin, necessitating withholding the medication and informing the healthcare provider. Choices A, B, and D are incorrect as they represent pulse rates above the threshold for withholding digoxin in a 5-year-old child.
A parent asks the nurse what to do when their toddler has temper tantrums. What play materials should the nurse suggest to offer the child as another way of expressing anger?
- A. Ball and bat
- B. Wad of clay
- C. Punching bag
- D. Pegs and pounding board
Correct Answer: D
Rationale: Pegs and pounding boards are the most suitable choice for toddlers to express their emotions constructively. These materials provide a safe and acceptable way for toddlers to release anger and frustration through physical activity. Options A, B, and C may not be as effective or safe for toddlers dealing with temper tantrums. A ball and bat may encourage aggressive behavior rather than constructive expression. A wad of clay might not be ideal for channeling anger, and a punching bag can potentially promote violent behavior, which is not appropriate for toddlers.
A nurse is providing care to a child diagnosed with sickle cell anemia. What is the priority nursing intervention?
- A. Administering pain medication
- B. Ensuring adequate hydration
- C. Providing nutritional support
- D. Monitoring vital signs
Correct Answer: A
Rationale: In sickle cell anemia, pain management is a priority due to vaso-occlusive crises that cause severe pain. Administering pain medication helps alleviate discomfort and improve the child's quality of life. Ensuring adequate hydration, although important, is secondary to addressing the immediate pain issue. Providing nutritional support is beneficial for overall health but does not address the acute pain experienced. Monitoring vital signs is essential but not the immediate priority when managing pain in sickle cell anemia.