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A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

I will remind my child to wash their hands well and frequently

I will remind my child not to touch their face while the rash is present

I will give my child a separate towel from other family members

I will fill a prescription for antiviral ointment to apply to the rash

Answer and Explanation

The Correct Answer is D

A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.

B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.

C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.

D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.

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Correct Answer is B

Explanation

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

A. Small bladder capacity B. Urinary tract infection/TI) C. Stress incontinence D. Regression E. Cognitive dysfunction F. Diabetes mellitus

Correct Answer is ["B","F"]

Explanation

A. Small bladder capacity can contribute to enuresis but may not need to be ruled out before addressing psychological factors.

B. Urinary tract infections can cause enuresis and should be evaluated and treated before investigating psychological causes.

C. Stress incontinence typically refers to the involuntary loss of urine due to pressure and may be a psychological factor rather than a physiological cause.

D. Regression can be a behavioral response but is not a medical cause that needs to be ruled out.

E. Cognitive dysfunction can contribute to enuresis but is not primarily a medical cause that needs to be ruled out.

F. Diabetes mellitus can lead to increased urination (polyuria) and should be evaluated as a potential medical cause before considering psychological factors.

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A 6 year old child presents to the pediatric clinic with vesicular rash and honey crusted plaques around the nose and mouth. Which of the following statements by the parent indicates the need for further teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?

Correct Answer is B

Explanation

Which cause of pediatric enuresis must be ruled out before psychological causes are investigated? Select all that apply.

Correct Answer is ["B","F"]

Explanation

The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.

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