A nurse is assessing a child who has measles. Which of the following areas should the nurse inspect for Koplik spots? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)
A
B
C
D
The Correct Answer is C
A. This is not the site where kolpik spots are located.
B. This is not the site where kolpik spots are located.
C. Koplik spots are small, white or bluish-white spots that appear on the inside of the cheeks, usually opposite the lower molars, in people who have measles. They are a sign of the infection and can be seen one to four days before the skin rash develops. They are surrounded by a red ring and look like grains of salt. Koplik spots are very helpful for diagnosing measles, especially when other diseases have similar symptoms.
D. This is not the site where kolpik spots are located.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A swaddle wrap is the most appropriate restraint for an infant to keep them calm and still during procedures such as IV insertion.
B. A jacket restraint is more appropriate for toddlers or older children.
C. Elbow restraints are used to prevent flexion of the elbow, typically in older infants or toddlers.
D. Hand mitts are typically used to prevent hand movements but are not as effective as a swaddle wrap for keeping the infant still during an IV insertion.
Correct Answer is B
Explanation
A. Decreased appetite is more likely to occur with hyperglycemia (high blood sugar), not hypoglycemia.
B. Shakiness is a common sign of hypoglycemia (low blood sugar), which can occur in children with diabetes. Immediate action is required to treat hypoglycemia.
C. Increased capillary refill is a sign of improved circulation, which is not associated with hypoglycemia.
D. Thirst is typically a sign of hyperglycemia, not hypoglycemia.
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