Nokea
Which statement by an adolescent with acne indicates that additional teaching about taking tetracycline hydrochloride (Panmycin) is needed?
- A. I'll take the medication with a full glass of water.
- B. I won't take any antacids with this medication.
- C. I'll take this medication with food.
- D. I'll avoid sun exposure while taking this medication.
Correct Answer: C
Rationale: Tetracycline should be taken on an empty stomach, as food reduces absorption. The statement about taking it with food indicates a need for further teaching.
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The agitated father of the 12-hour-old newborn reports to the nurse that his baby’s hands and feet are blue. The nurse confirms acrocyanosis and intervenes by taking which action?
- A. Immediately stimulates the infant to cry
- B. Explain that this is normal in a newborn
- C. Assess the newborn’s temperature
- D. Assess the newborn’s cardiac status
Correct Answer: B
Rationale: Acrocyanosis blueness of hands and feet is a normal newborn phenomenon in the first 24 to 48 hours after birth. The nurse should explain this to relieve anxiety. Stimulation temperature or cardiac assessments are unnecessary.
When discussing cerebral palsy with the parents of a newly diagnosed child, which information is correct?
- A. Cerebral palsy is a nonprogressive disease caused by damage to the brain.
- B. Brain surgery commonly helps or even cures children with cerebral palsy.
- C. Physical therapy is of little value to a child with cerebral palsy.
- D. Cerebral palsy is the result of injury to the sensory areas of the brain.
Correct Answer: A
Rationale: Cerebral palsy is a nonprogressive neurological disorder caused by brain damage, often before or during birth, affecting motor function but not worsening over time.
Which response by the nurse would be most helpful in this situation?
- A. You should attempt to discuss the dangers of drug abuse with the patient to see if treatment is necessary.
- B. It will be necessary to get a court order before you can force your child to enter a drug treatment program.
- C. The success of the drug treatment program will depend on your child's desire to become drug-free.
- D. It's best that you force your child into the treatment program because otherwise participation probably will not occur.
Correct Answer: C
Rationale: The success of drug treatment relies on the adolescent's motivation to recover, making it important to discuss their willingness and readiness for treatment.
Maximum normal time for second stage of labour in primigravida without anaesthesia is about:
- A. 20 minutes.
- B. 60 minutes.
- C. 120 minutes.
- D. 240 minutes.
- E. There is no normal maximum.
Correct Answer: C
Rationale: The second stage in primigravida without anesthesia is typically up to 2 hours (120 minutes). Beyond this intervention is considered due to risks of maternal or fetal distress.
Which nursing action best facilitates the child's reestablishment of friendships with peers?
- A. Encourage the child to make friends with children who have cancer.
- B. Tell the child that real friends do not care how you look on the outside.
- C. Encourage the child's friends to visit while the child is still in the hospital.
- D. Tell the child that the appearance changes are temporary and not that bad.
Correct Answer: C
Rationale: Encouraging friends to visit in the hospital maintains social connections, supporting the child's emotional well-being and facilitating reintegration with peers.