A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?

Remove clothing.

Administer pain medication.

Assess respiratory status.

Insert a Foley catheter.

Answer and Explanation

The Correct Answer is C

A. Remove clothing. Removing clothing is important to prevent further injury from retained heat or chemicals, but it is not the first priority compared to ensuring a patent airway and adequate breathing.
B. Administer pain medication. Pain management is important but comes after ensuring the child's airway and respiratory status are stable.
C. Assess respiratory status. Burns on the face and chest can compromise the airway and breathing. Assessing respiratory status is the first priority to ensure the child’s airway is not obstructed and that they are receiving adequate oxygen.
D. Insert a Foley catheter. Inserting a Foley catheter may be necessary to monitor urine output and assess kidney function in severe burns, but it is not the first priority compared to assessing respiratory status.

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Correct Answer is C

Explanation

A. Wash bed linens in cold water. Washing bed linens in cold water is ineffective for killing pinworm eggs. Hot water should be used to properly sanitize linens and kill the eggs.
B. Clean the bathroom with bleach solution. While cleaning the bathroom with bleach can help reduce contamination, it is not a primary or effective measure for preventing pinworm spread and reinfection in a household setting.
C. Keep children's nails short. Keeping nails short reduces the likelihood of the child scratching the perianal area, where pinworm eggs are deposited, and then ingesting the eggs through hand-to-mouth contact. This helps prevent the spread and reinfection of pinworms.
D. Dress child in loose-fitting underwear. Loose-fitting underwear does not specifically help in preventing the spread or reinfection of pinworms. Tight-fitting underwear may actually be better to prevent the spread of eggs to other surfaces.

A. Test the stool for occult blood B. Perform a tape test C. Initiate IV fluids D. Collect stool specimen for culture

Correct Answer is B

Explanation

A. Test the stool for occult blood: Testing for occult blood in the stool is not relevant for diagnosing pinworms.
B. Perform a tape test: The tape test involves applying transparent tape to the perianal area to collect pinworm eggs, which is the appropriate diagnostic method for Enterobius vermicularis.
C. Initiate IV fluids: IV fluids are not indicated for the diagnosis or treatment of pinworms unless the child is severely dehydrated, which isn't suggested by the scenario.
D. Collect stool specimens for culture: Stool culture is not used to diagnose pinworms; the tape test is more appropriate.

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A child is brought to the emergency department with burns on the face and chest. What is the nurse's first priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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