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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: The FACES scale is not typically used for infants as they cannot verbally express or select a face that correlates with their pain level.
Choice B reason: The Oucher scale requires a child to point to a face that shows how much pain they are feeling, which is not suitable for infants who cannot communicate their pain verbally.
Choice C reason: The FLACC scale is appropriate for infants as it assesses pain based on five categories of behavior: Facial expression, Leg movement, Activity, Cry, and Consolability.
Choice D reason: The Non-communicating children's pain checklist is designed for children with cognitive impairments and is not the best choice for assessing pain in infants.
Correct Answer is A
Explanation
The correct answer is a. "Children play alongside each other but do not interact."
Choice A reason: Parallel play is characterized by children playing next to each other without engaging in direct interaction or cooperative play, which is typical behavior at certain developmental stages.
Choice B reason: Organized play involves interaction and cooperation, which is not characteristic of parallel play.
Choice C reason: While children may play independently in a group, this statement does not capture the essence of parallel play, which involves proximity without interaction.
Choice D reason: Observing others play is more indicative of onlooker behavior rather than parallel play.
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