A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

"Begin to taper the antibiotics after 3 days of administration"

"Administer the antibiotics if the child has a fever"

"Administer the antibiotics until they are gone."

"Administer the antibiotics until the child feels better"

Answer and Explanation

The Correct Answer is C

A.   Antibiotics should not be tapered unless specifically directed by a healthcare provider. It is essential to complete the full course of antibiotics as prescribed, even if the child begins to feel better, to ensure the infection is fully treated.
B.   Antibiotics should be administered as prescribed regardless of whether the child has a fever. Fever can be a sign of infection, but it is not the sole criterion for administering antibiotics.
C.   Parents should complete the entire course of antibiotics as prescribed, even if the child appears to be improving. This helps to prevent the development of antibiotic-resistant bacteria and ensures that the infection is fully treated.
D.   While it is common for parents to want to stop medications when their child feels better, it is crucial to complete the full course of antibiotics. Stopping early can lead to a recurrence of the infection and contribute to antibiotic resistance.

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Correct Answer is D

Explanation

A. Edema (swelling due to fluid accumulation) is not a primary manifestation of scabies. While secondary infections can lead to localized swelling, edema is not characteristic of scabies itself.
B. Maceration refers to the softening and breaking down of skin resulting from prolonged exposure to moisture. While it can occur if the skin is scratched and becomes wet, it is not a primary clinical manifestation of scabies.
C. Redness (erythema) can occur due to scratching and irritation, but it is not the defining feature of scabies. While some redness may be present, it is not the primary symptom that indicates scabies infestation.
D. The primary clinical manifestation of scabies is intense pruritus (itching), which is often worse at night. The itching is a result of an allergic reaction to the mites and their waste products, leading to discomfort and a strong urge to scratch.

A. Cyanosis B. Restlessness C. Increased respirations D. Hypertension

Correct Answer is B

Explanation

A. Cyanosis is a late sign of hypoxia, occurring when oxygen saturation is significantly low. It's often visible in the mucous membranes and skin.
B. Restlessness is often one of the earliest signs of hypoxia. As oxygen levels decrease, the brain becomes deprived of oxygen, leading to changes in mental status, including restlessness, confusion, and agitation.
C. Increased respirations (tachypnea) can be a sign of hypoxia, but it's often a later response as the body attempts to compensate for decreased oxygen levels.
D. Hypertension is not a typical sign of hypoxia. In fact, severe hypoxia can lead to hypotension as blood pressure decreases.

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A child with otitis media had a myringotomy with insertion of tubes. The nurse provides discharge instructions to the parents regarding the administration of antibiotics. Which statement indicates understanding of the instructions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the primary clinical manifestation in a child with scabies?

Correct Answer is D

Explanation

The nurse is aware the early indicator of hypoxia in the unconscious client is:

Correct Answer is B

Explanation

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