Nokea
Which statement by the parents of a child with chickenpox indicates a need for further teaching?
- A. We'll keep our child out of school until the lesions are crusted over.
- B. We'll apply calamine lotion to relieve itching.
- C. We'll give our child aspirin to reduce fever.
- D. We'll ensure our child gets plenty of rest.
Correct Answer: C
Rationale: Aspirin should be avoided in children with chickenpox due to the risk of Reye's syndrome, a serious condition linked to aspirin use in viral infections, indicating a need for further teaching.
You may also like to solve these questions
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.
35 years old woman who is now in her 5th pregnancy with 4 alive children presented in the antenatal clinic and in diagnosed as a case of anaemia. Cause of anaemia in her case is:
- A. Folate deficiency.
- B. Sickle cell anaemia.
- C. Iron deficiency.
- D. Pernicious anaemia.
- E. Thalassaemia.
Correct Answer: C
Rationale: Iron deficiency is the most common cause of anemia in pregnancy especially in a multiparous woman with multiple pregnancies as iron stores are depleted due to increased demand. Folate deficiency is less common and typically presents with megaloblastic anemia. Sickle cell anemia and thalassemia require genetic predisposition and pernicious anemia is rare in pregnancy.
The parents of the child with juvenile rheumatoid arthritis (JRA) ask the nurse why the child cannot have aspirin. The parents further explain that they have heard that aspirin is used in the elderly for arthritis and the use of the patients. The nurse correctly explains that children with JRA are given different medications than adults with arthritis and explains that the toxic effects of aspirin include which manifestations?
- A. Constipation, weight gain, and fluid retention
- B. Ringing in the ears, nausea, and vomiting
- C. Anorexia, weight loss, and double vision
- D. Headache, dry mouth, and dental cavities
Correct Answer: B
Rationale: Aspirin in children can cause toxicity, including ringing in the ears (tinnitus), nausea, and vomiting, and is avoided due to the risk of Reye's syndrome, especially in children with viral infections.
18 years old P1 presents in outpatient department ten days after delivery with tender hot painful swelling in right breast. She also complains of fever with rigors. What will be the most likely management:
- A. Antibiotics.
- B. Analgesics.
- C. Incision & drainage.
- D. Conservative management.
- E. Lactation inhibition.
Correct Answer: C
Rationale: The symptoms suggest a breast abscess which requires incision and drainage for effective treatment especially with systemic symptoms like fever. Antibiotics alone are insufficient for an abscess and other options are inappropriate.
Which nursing action is most appropriate when caring for a school-age child who is experiencing a nosebleed?
- A. Tilt the child's head backward, and apply an ice pack to the nose.
- B. Position the child's head forward while gently pinching the nostrils.
- C. Pack the affected nostril with a small amount of clean cotton.
- D. Clean the affected nostril, and instill saline nose drops.
Correct Answer: B
Rationale: Positioning the head forward and pinching the nostrils applies pressure to stop bleeding while preventing blood from flowing down the throat, which could cause choking or nausea.