Nokea
Which urinary diversion procedure is the least damaging to the body image of the adolescent?
- A. Urostomy
- B. Ileal conduit
- C. Nephrostomy
- D. Suprapubic placement
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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When teaching an adolescent about managing tinea pedis, which statement indicates an understanding of the teaching?
- A. I should buy some plastic shoes to wear at the swimming pool
- B. I should wear sandals as much as possible
- C. I should place the permethrin cream between my toes twice daily
- D. I should seal my non-washable shoes in plastic bags for a couple of weeks
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A parent of an infant with congenital hypothyroidism is receiving teaching from a nurse. Which of the following statements should the nurse include in the teaching?
- A. Your child will need to take medication for a few months
- B. You will need to give your child the medication every other day
- C. Your child will need to take the medication until age 10
- D. Your child will need to take the medication for life
Correct Answer: D
Rationale: The correct answer is D. Congenital hypothyroidism requires lifelong medication to manage the condition effectively. The nurse should emphasize to the parent that their child will need to take the medication for life to ensure proper thyroid hormone levels and prevent complications associated with hypothyroidism.
What is the most important statement to include when teaching a patient who is prescribed metronidazole (Flagyl)?
- A. Take the medication with food.
- B. Avoid alcohol consumption.
- C. If you experience a metallic taste in your mouth, call your doctor.
- D. You can stop taking the medication once you feel better.
Correct Answer: B
Rationale: The most crucial statement to include when teaching a patient prescribed metronidazole (Flagyl) is to avoid alcohol consumption. Mixing metronidazole and alcohol can lead to a disulfiram-like reaction, causing severe symptoms such as nausea, vomiting, and headache. Therefore, it is essential to emphasize to the patient the importance of abstaining from alcohol while taking this medication to prevent adverse reactions.
A parent of a child with oral candidiasis is being taught by a nurse. Which statement by the parent indicates an understanding of the teaching?
- A. I will boil the nipples and pacifiers for 20 minutes each day.
- B. I will stop the medication as soon as the spots disappear.
- C. I will apply an over-the-counter steroid cream to the spots.
- D. I will mix the medication in my child's bottle.
Correct Answer: A
Rationale: Boiling the nipples and pacifiers for 20 minutes each day is an appropriate measure to prevent reinfection of oral candidiasis. This practice helps eliminate the Candida fungus from these items, reducing the risk of the child getting reinfected. It is crucial for the parent to follow this hygienic practice consistently to ensure the child's recovery and prevent the spread of the infection.
A school-age child is 2 hours postoperative following a tonsillectomy. Which of the following actions should the nurse include in the plan of care?
- A. Place a heating pad at the surgical site.
- B. Encourage the child to cough every 2 hours.
- C. Administer analgesics to the child on a regular schedule.
- D. Apply an ice collar to the child's neck.
Correct Answer: D
Rationale: After a tonsillectomy, applying an ice collar to the child's neck helps decrease pain and swelling. Heat should be avoided as it can increase bleeding. Encouraging coughing may increase the risk of bleeding. Administering analgesics on a regular schedule is essential for pain management, but the immediate postoperative period may require additional interventions like ice collar application.