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When teaching the parents of a child with Salmonella gastroenteritis about preventing recurrence, which instruction should the nurse include?
- A. Avoid sharing toys with other children.
- B. Cook poultry to an internal temperature of 165°F.
- C. Use hand sanitizers before meals.
- D. Limit fluid intake during meals.
Correct Answer: B
Rationale: Cooking poultry thoroughly prevents Salmonella contamination.
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When teaching an adolescent with facial acne about skin care, the nurse should instruct the adolescent.
- A. Wash the face twice a day with mild soap and water.
- B. Remove whiteheads and comedones after washing his face with antibacterial soap.
- C. Apply vitamin E ointment twice daily to the affected skin.
- D. Apply tretinoin (Retin-A) daily in the morning and expose the face to the sun.
Correct Answer: A
Rationale: Washing the face twice daily with mild soap and water helps remove excess oil and debris without irritating the skin. Removing whiteheads can cause scarring, vitamin E is not evidence-based for acne, and tretinoin should be applied at night due to photosensitivity.
A nurse working in the nursery identifies a goal for a mother of a newborn to demonstrate positive attachment behaviors upon discharge. Which intervention would be least effective in accomplishing this goal?
- A. Provide opportunities for the mother to hold and examine the newborn.
- B. Engage the mother in the newborn's care.
- C. Create an environment that fosters privacy for the mother and newborn.
- D. Identify strategies to prevent difficulties in parenting.
Correct Answer: D
Rationale: Preventing parenting difficulties is less directly related to fostering immediate attachment.
The nurse is caring for a child in Bryant’s traction (see fi gure). The nurse should:
- A. Adjust the weights on the legs until the buttocks rest on the bed.
- B. Provide frequent skin care.
- C. Place a pillow under the buttocks.
- D. Remove the elastic leg wraps every 8 hours for 10 minutes.
Correct Answer: B
Rationale: The traction is positioned correctly; the nurse should provide frequent skin care to the back and shoulder areas. The hips and buttocks should be lifted off the bed to provide counter traction; the nurse should not adjust the weights. The nurse should not place a pillow under the buttocks as this would prevent counter traction. The elastic wraps should remain on the legs unless permitted by the physician.
After teaching the family of a child with scoliosis who wears a Boston brace, which of the following activities, if stated by the child and family as occasions appropriate for removal of the brace, indicates successful teaching?
- A. When bathing, for about 1 hour per day.
- B. While eating, for a total of 3 hours a day.
- C. During school, for about 8 hours a day.
- D. When sleeping, for a total of 10 hours a day.
Correct Answer: A
Rationale: The Boston brace can be removed for short periods, such as during bathing, typically limited to about 1 hour per day, to maintain treatment efficacy.
The nurse discusses the eating habits of school-age children with their parents, explaining that these habits are most influenced by:
- A. Food preferences of their peers.
- B. Smell and appearance of foods offered.
- C. Examples provided by parents at mealtimes.
- D. Parental encouragement to eat nutritious foods.
Correct Answer: C
Rationale: Parental modeling during meals strongly influences children's eating habits.