A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?

“Typically, daycare will not allow children back until after the recheck appointment."

"Your child can return after 24 to 48 hours of antibiotic use. depending on your school."

"Once the eyes are no longer red or draining, your child will be able to return to school."

"Your child will need to complete the course of antibiotics before returning to school.”

Answer and Explanation

The Correct Answer is B

A. This statement is not accurate as many daycare policies allow children to return after a shorter period if symptoms improve.
B. It is generally accepted that children with bacterial conjunctivitis can return to daycare after 24 to 48 hours of antibiotic treatment, as the risk of contagion is significantly reduced. Parents should confirm the specific policy with their daycare.
C. While waiting for symptoms to completely resolve is ideal, it is not the most practical or common recommendation.
D. Completing the full course of antibiotics is important for the child's health, but it is not necessary for returning to school.

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Correct Answer is C

Explanation

A. A blood pressure of 100/56 and a small weight gain may indicate fluid retention, but they are not immediately life-threatening.
B. A heart rate of 150 beats/minute with crying can be normal for a child of this age, especially during emotional distress.
C. An apical pulse of 70 beats/minute and vomiting are concerning because they may indicate digoxin toxicity. A low heart rate (bradycardia) in a child on digoxin requires immediate attention.
D. An hourly urine output of 45 mL/hour is adequate and not concerning in this context.

A. "You can tell me what happened, I won't tell anyone." B. "Who did this to you?, I need to know." C. "Your mother should have protected you from this!" D. "This is not your fault: you are not to blame for this."

Correct Answer is D

Explanation

A. This statement is not appropriate as the nurse is required to report any suspected abuse and cannot promise confidentiality.
B. This statement is too direct and may make the child feel uncomfortable or threatened.
C. This statement places blame and is not supportive or therapeutic.
D. Reassuring the child that they are not to blame is supportive and helps to build trust.

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A child is starting antibiotic therapy for bacterial conjunctivitis. The parents ask when the child may return to daycare. The nurse's BEST response would be which of the following?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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