Nokea
Which allergy would contraindicate the use of silver sulfadiazine (Silvadene) as a topical agent for burns?
- A. Penicillin
- B. Iodine
- C. Tetanus immunizations
- D. Sulfa
Correct Answer: D
Rationale: Silver sulfadiazine is contraindicated in patients with sulfa allergies due to potential adverse reactions.
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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 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 does the nurse explain as the most likely cause of this rash?
- A. Sun exposure
- B. Allergic reaction
- C. Infection
- D. Heat and moisture
Correct Answer: D
Rationale: Miliaria (prickly heat rash) is caused by excess heat and moisture, leading to pinhead-sized red papules.
What would the nurse teach parents to do in order to avoid diaper rash?
- A. Use ointments.
- B. Keep perineum covered at all times.
- C. Use disposable diapers.
- D. Avoid plastic bloomers or pants.
- E. Change diaper frequently.
Correct Answer: A,C,D,E
Rationale: Using ointments, disposable diapers, avoiding plastic pants, and frequent diaper changes prevent diaper rash by keeping the skin dry and protected.
Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?
- A. Wool is the best fabric for the infant's clothing.'
- B. I should avoid laundry detergents with fragrances.'
- C. I put cotton gloves on the infant's hands.'
- D. The infant's fingernails are kept short.'
Correct Answer: A
Rationale: Wool can exacerbate eczema due to its allergy potential; cotton clothing is recommended instead.