A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?
Collect a stool specimen for culture.
Initiate IV fluids.
Perform a tape test.
Test the stool for occult blood.
The Correct Answer is C
Choice A reason: Collecting a stool specimen for culture is not the preferred method for diagnosing Enterobius vermicularis, as the pinworm eggs are rarely present in the stool.
Choice B reason: Initiating IV fluids is not a diagnostic measure for Enterobius vermicularis and is not relevant unless the child is dehydrated or requires fluids for another reason.
Choice C reason: The tape test is the standard diagnostic procedure for Enterobius vermicularis. It involves placing clear tape around the anus to collect any eggs that may be present, which are then examined under a microscope.
Choice D reason: Testing the stool for occult blood is not a diagnostic measure for Enterobius vermicularis, as this infection does not typically cause bleeding.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.
Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.
Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.
Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.
Correct Answer is C
Explanation
Choice A reason: A platelet count of 200,000/mm is within the normal range and does not need to be reported.
Choice B reason: A hematocrit of 40% is also within the normal range for a preschooler and does not require reporting.
Choice C reason: A blood protein level of 5.0 g/dL is low and indicative of nephrotic syndrome, which can lead to serious complications if not addressed.
Choice D reason: A hemoglobin level of 14.5 g/dL is within the normal range and does not need to be reported.
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