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.

Answer and Explanation

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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Correct Answer is ["B","C","D"]

Explanation

Choice A reason: The inability to retract foreskin is not typically associated with epispadias. This condition is characterized by the urethral opening being on the dorsal side of the penis.

Choice B reason: In epispadias, the urethral opening is located on the dorsal side of the penis, which is a key characteristic of this condition.

Choice C reason: A widened pubic symphysis is often seen in epispadias due to the associated pelvic bone structure abnormalities.

Choice D reason: Bladder exstrophy is commonly associated with epispadias and involves the bladder being exposed outside the abdomen.

A. "The client meets the criteria for the chronic asymptomatic HIV infection phase." B. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)." C. "The client's CD4+ T-cell count is within the normal range." D. "The client meets the criteria for the acute HIV infection phase."

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

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A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a male infant who has epispadias. Which of the following findings should the nurse expect? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

Correct Answer is B

Explanation

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